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813-780-0020 City of Zephy�hills Permit Appiication Fax-813-780-0021 <br /> Building Department <br /> Date I�eceived JV J J i �-{ ) 'Z Phone Contact for Permittin -- <br /> Owner's Name � ��.1 t�� ���J n ��� «a f..�,= ��w ti 1� Owner Phone Number <br /> Owners Address ��-3 �� ��I�i �-- � �� ' r �- Owne�Phone Number <br /> Fee Simple Titleholder Name Owner Phone Numbar � <br /> Fee Simple Titleholder Addresa <br /> JOB ADORESS � � LI .. J��/� � I= 5 � !^r� LOT# � <br /> SUBDIVISION PARCEL IDA� <br /> (09T/VNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK �] FRAME �] STEEL Q <br /> DESCRIPTION OF WORK L'� � �' 7 ���-5 I �- i d'�" - �f�I� <br /> BUILDING SIZE r- SQ FOOTAGE�� HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a . t'� B�-� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> /a �� u ti 7� �� � o .c� 1-..,`(s f I��c� �t7- <br /> QPLUMBING a <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER 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 ��� S 3 � (� (�S��� ti S � 1� � �� License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address Ucense# <br /> MECHANiCAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W PeRnit for new construction, <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facllitfes&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0=W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsfte,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> «"""PROPERTY SURVEY required for all NEW consUuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,nota�zed <br /> If over s2500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> "' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of ApplicaUon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIof/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />