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— <br /> 813-780-0020 City of Zephythills Permit Application Fax-813-780-0021 <br /> Baking Department * i i 0,...3-- <br /> nde Beaked IL II Phone Contact for (J11 i I PA – Mt11' <br /> ��►� �/ r y am ._ <br /> Owner's tam l \tfl rl� j�s Owner Phone Number 1 .�1� ►: �l�,Iil <br /> Owners Address r � ef1 ` • o •7 — - O.�w Phone Number <br /> Fee Simple Titleholder Name' 1�Pt 1 Owner Phone Nu nber 1 <br /> Fee Simple Titleholder Address I ' " ' <br /> JOB ADDRESS hcma c. ( t i. t r Loup !� 1 r +� .� h LOT # 1 � ` I 1 <br /> SUBDIVISION S. ,, '1r 1_y PARCEL IDS I(94 at! °O` -" u)a)•(J(�.L_iOT 1 <br /> J• f 4( l) 1 <br /> (aTAICD FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ Q SIGN n MOVE Q DEMOLISH <br /> I NST ALL REPAIR <br /> PROPOSED USE SFR n COMM In OTHER <br /> TYPE OF CONSTRUCTION Q /�/� BLOCK pit FRAME <br /> �� ) Q STEEL <br /> �/� y �OTHER ip'igm �1114M.fd' <br /> DESCRIPTION OF WORK , I t l.( aD ! f� jx, L mil y mirk) rt ptar_ / � .f 1 lY. <br /> BUILDING SIZE 1 12' x 5-1 ' I SQ FOOTAGE L HEIGHT <br /> Ft <br /> BUILDING Mill VALUATION OF TOTAL CONSTRUCTION(9 1 W • <br /> I( ELECTRICAL S AMP SERVICE F ENERGY n W.R.E.C. <br /> I1--r PLUMBING S 1 <br /> I IS VALUATION OF MECHANICAL INSTALLATION <br /> n GAS n ROOFING I SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS 1 FLOOD ZONE AREA nYES liej <br /> BUILDER f I // COMPANY t 4, _ 'et u ■b' i 1 y _ <br /> SIGNATURE % i J - REGISTERED WM. FEE CURRENT <br /> Wan 1 <br /> Address 0 .' ') I III . r L . VP License # 11111 . , b 111 j <br /> ELECTRICIAN COMPANY ( � L0S.ii L-(. ' N <br /> SIGNATURE � L��8■I fa,Le �, e 1 Rc -ocar REn Y N I FEE CURRENT Mg <br /> Address j% ��G1a1G/1i/pf����Jii�lt /Lw, Uceme# I ix ) 9(1( )1 <br /> PLUMBER Vie = tthU 5� <br /> j�j,% � � /� ink. FEE CURRENT / � Y N <br /> Address :� i f�. m, /. ilt .' _JL L Lt %JI l u....# I II4 , ► `�, 10 1 <br /> % f i e COMPANY 1 <br /> SIGNATURE /�// � <br /> MECHANICAL // ��/ 13 - f � REGISTERED REGISTERED � �ti'� � 1 � � ��� � N I <br /> Address f32.11ii1=f4 _' License if �_ i,.lreVJi 1 <br /> OTHER cp <br /> SIGNATURE REGISTERED Yd N I FEE CURRENT / N <br /> Address I 1 License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fans; R-O-W Permit for new construction, <br /> Minimum ten (10) working days filer submittal date. Required ensile, Construction Plans. Store w star Plans wl SR Fence instated, <br /> Smeary Facilities & 1 dumpster: Site Work Perrot 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 ten (10) working days after submttal date. Required orate. Construction Plans, Stonnwater Plan w/ SR Fence imdaNed. <br /> Sanitary Facades s / crummier. Site Work Permitter all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for a NEW oare6ucdon. <br /> Directions: <br /> Fill out applrition completely. <br /> Owner & Contractor sign bade of application, notarized <br /> If over 82500, a Notes of Commencement Is required. (AIC upgrades over 85000) <br /> Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter kom owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Records Sewers Service Upgrades AIC Fences (Plot/Survey/Footage) <br /> Drive ways -Not over Courier if on pubic roadways..needs ROW <br />