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08/31/2010 19:23 8139621913 PAGE 01 <br /> . <br /> City of ZephVrhills Permit Appficatiofi • <br /> Building Departmen <br /> Contact for Permlttln. Phone .... ..... <br /> .. ne Co to <br /> Date Rece _ ._ -- :,:a::••••••• Nu ' <br /> :::::: Owner Phone Numbs <br /> Owner's Name Owner Phone mber <br /> Owner's Address Owner Phona Number immumi. <br /> Fee Simple Titleholder Name <br /> • <br /> / Fee Simple Titleholder Address LOT Ij <br /> r1= <br /> .yea 'A, v' .41\v <br /> JOB ADDRESS <br /> PARCEL ID# <br /> SUBDIVISION ( OBTAINED FROM PRO PERTY TAX NOTICE) DEMOLISH, <br /> ADD /ALT SIGN MOVE Q El NEW CONSTR REPAIR <br /> WORK PROPOSED INSTALL <br /> COMM C] OTHER <br /> • PROPOSED USE [ SFR 11II FRAME STEEL OTHER <br /> TYPE OF CONSTRUCTION Li BLOCK l� <br /> • DESCRIPTION OF WORK —. <br /> BUILDING SIZE <br /> SQ FOOTAGE r L b ] HEIGHT <br /> l 1 BUILDING ($ . 0 �o s 0 1 VALUATION OF TOTAL CONSTRUCTION <br /> t I PROGRESS ENERGY �' I W.R.E.0 <br /> r-i ELECTRICAL <br /> $ AMP SERVICE <br /> O e O <br /> I _ PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> • <br /> 1 GAS � ROOFING . 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS r I FLOOD ZONE AREA YES 11:1t40 <br /> • <br /> BUILDER COMPANY ��1 [�` 1�� C drJ - • <br /> SIGNATURE REGISTERED Y / N FEE CURRENT Y / N <br /> I Address . License # t- t-• /wf A <br /> ELECTRICIAN /G� / COMPANY f RI IIPE ferric/tit icAC Co NS He oct ON <br /> SIGNATURE L(/ REGISTERED • 1ZEIPfIIII FEE CURRENT Y / N <br /> Address \ 0 IJ E i� I w E I S I AND D R (, 38 Ca QE C v# t4 r C,- f License # Fe �- 1 3 co 3.S <br /> • <br /> PLUMBER • COMPANY <br /> SIGNATURE REGISTERED Y / N FEE CURRENT Y / N <br /> Address _ License # C <br /> MECHANICAL P � �Q. / A4 sOICG f� /Z i�� 4 <br /> SIGNATURE b /'���/. COMPANY <br /> REGISTERED I N I FEE CURRENT ' N I <br /> Address 37 32.5 . " `Ire 3 7-X- -- License* f A c f 8 l e3? 89 <br /> OTHER J COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT Y! N I <br /> Address ( M I License # ( <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, <br /> Minimum len (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpsler; Site Work Permit for subdivisions /large projects <br /> COMMERCIAL . Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms, R -O -W Permit for new construction. <br /> Minimum len (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed. <br /> Sanitary Facilities & 1 dumpsler. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plana. <br /> ""PROPERTY SURVEY required for ell NEW construction. . <br /> Directions: • +M++ r++H+► <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized • . • <br /> If over $2500, a Notice of Commencement is required. (A /C upgrades over 15000) <br /> Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same • <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways. - needs ROW <br /> • <br /> I <br />