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a�s-��wWC° City of Zephy►�hills Permit Application Fax-813-780-0021 <br /> Building Department n� , z�� <br /> y� ,� ���__ � �'�� � � r� <br /> Date Received v� _j�j �--/ ,-, <br /> °'--- Phone Contact fo�Permittin - <br /> Owner's Name ✓ !/1,'/' ,E Owner Phone Number <br /> Oxmer's Address 3(� � 3 s0l�T� �U„ Owner Phone Number <br /> Fee Simple Titleholder Name � <br /> Owner Phone Number <br /> / <br /> Fee 3imple Titleholder Addreas �.11 <br /> JOB ADDRESS � �� <br /> LOT� <br /> SUBDIVISION PARCEL ID�t ' � — (� Q"C10 jj —,� � <br /> (OBTAINED F�PROPERTY T�ncE)DEMOLISH <br /> VVORK PROPOSED e New coNSrR 8 ADD/ALT � SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK [� FRAME �] STEEI Q <br /> DESCRIPTION OF WORK �Gt' rI�T/Q'L K � OV R �/� LE S <br /> BUILDING SIZE SQ FOOTAt3E�� HEI(iHT <br /> �BUILDING S O� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING = <br /> OMECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ` v COMPANY � � " <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> M�CHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y J N <br /> Addross License# <br /> RESIDENTIAL AtNach(2)Plot Plans;(2)sets of Building Plans;(1)set oi Energy Forms;R-0-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Fadlitles 8 1 dumpster,Slte Work Permit for subdivisionsflarge proJects <br /> COMMERCIAL Attach(3)complete sets of Bufiding Plans plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Permit for new conshuction. <br /> Minimum ten(10)vwrking days after submittal date. Required onsite,ConshucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engfneered Plans. <br /> ""'PROPERTY SURVEY requlred for all NEW consUuctlon. <br /> Diroctlona: <br /> Fill out appliption completely. <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over i2S00,a Notice oi Commencement Is requfred. (A!C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the ovrner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSuroey/Footage) <br /> Drivewaya-Not over Counter if on public roadways..needs ROW <br />