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s�3-�eo-oozo City of Zephy�hills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin -- <br /> Owner's Name J {./"i� �j�3_ 3/r�Cf .. ��7V.'' <br /> - n ' Owner Phone Number <br /> Owners Address � I '�h S t <br /> Owner Phone Number <br /> Fee Simple Titleholder Name � � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> . � <br /> JOB ADDRESS � �' �f`yt S"t ' f I LOT# � <br /> SUBDIVISION ���Lh eC''.J � �;]��d� PARCEL ID# � t� .S 7�v� � y.5� g3� ora�, <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> VNORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q �COMM Q OTHER <br /> 7YPE OF CONSTRUCTION Q BLOCK Q F ME � STEEL Q � � <br /> DESCRIPTION OF WORK � �t t1 � � t •�' �L j���'� `�J j/a� .s <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �BUILDING VA ION OF TOTAL CONSTRUCTION <br /> �v C/c/ c:� <br /> QELECTRICAL $ A P SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> c7. ' <br /> , '1 <br /> �PLUMBING ,$ L' `�4j � <br /> ��� <br /> MECHANICAL $ VA ATION OF MECHANICAL INSTALLATION 2� <br /> � � � <br /> . � �I <br /> �GAS Q ROOFING SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> _.............. .�:� <br /> �- _.__�. ----__. <br /> ... <br /> �LDER I � ��j OMPANY <br />� SIGNATURE • "" \ � REGIST Y/ N FEE CURRE� Y/N <br />\ Address �(/ . �x Z�i � License# <br /> `�'�� ..�... <br /> ELE�TRICIAN _.. .. __�..........,. •- C�M�ANY <br /> SIGNATURE • � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER � l COMPANY <br /> SIGNATURE + � � � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE t � 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 Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,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 construction. <br /> Directions: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over E7500) <br /> '• Agent(for the contractor)or Power of Attomey(for the owner)would be someone wlth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING {Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />