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\ �,s-�au-oozo � City of ZephyPhills Permit Application Fax-813-760-0021 <br /> Building Department <br /> Date Received !q�I Phone Contact tor Permitting __ <br /> Ouvner's Idame S Obrner Phone Idumber ����" � <br /> r� �` '�.�51 <br /> Oumer's Address ���°�\ CC�I�N ��� � '�`��er Phone fdumber <br /> Fee Simple Titleholder Mame Owmer Phone Number <br /> Fee Simple Titleholder Address <br />� JOB ADDRESS �� ' l� C��� �� � Z- � �1���5 � ���Z LOT# r_� <br /> SUBDINISIOM PARCEL.ID# <br /> -' - - �— -�" " (OBTAINEDFROMPROPERTYTAXNOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN Q �] DEMOLISH <br /> INSTALL REPAIR. <br /> PROPOSED USE , Q SFR Q COMM Q OTHER <br /> 'TYPE OF CONSTRUCTIOM Q BLOCK Q FRAME 0 STEEL Q <br /> ID�SCRIPTION OF NNORK V1 I Q 1 t � O� � � <br /> BUILDIfdG SIZE SQ FOOTAGE FIEIGHT <br />' BUILDING $ , �O pp VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> OMECHANICAL $ VALUATION OF MECHANICAL IIVSTALLATION \��� <br /> � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER - ��OMPANY �L-L' 0 �p}�� 0'Y1 I�v� <br />- S!G[d,4T@:RE——--_ _ - - - - - `'—-- �2REGISTEReD ° Y/ N--- FEe CURREP- " -_Y/7V —- —— — - <br /> Address License# G � <br /> ELECTRICIAN � Q" �h0. � CO�PAMY ��/GJ Cr��SS -H�G( <br /> SIG(dA'TURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# ��Q(�p2� <br /> PLUIMBER COMPAMY <br /> SIGIdATURE �+-��i REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# —� <br /> MECHAMICAL COMPAMY <br /> SIGRlATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPAtdY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RE�IDERITIAL Attach(2)Plot Plans;(2)'sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minlmum ten(10)working days after subm(ttal date. Required onsite,Constructlon Pians,Stormwater Plans wl Silt Fence instailed, <br /> Sanitary Facilities 81 dumpster,Site Work Pertnit for subdivistons/large projects <br /> COMMERCIAL ABach(3)complete sets of Buildtng 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 Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGtd PERMIT Attach(2)sets of Engineered Plans. <br /> •'••PROPERTY SURVEY required for all NEW construction. <br /> Dtrectlons: � '' ' � - <br /> Fill out applicatlon completely. � � <br /> Owner 8 Contractor sign back of application,notarized � � <br /> If over 52500;a Idotice of Commencement Is requ(red. (A/C upgrades over a7500) <br /> '" Agent(for the contractor)or Power of Attomey(for,the owner).would be someone wlth notarized letter from owner authorizing same <br /> ONER THE COUNTER PERMITTING , (Front of Application Only) - - -- - ._, "_ - _ __ ._ <br /> Reroofs if shingles Sewers Se'rvice Upgrades A/C. • Fences(PIoUSurvey/Footage) - ' <br /> � - . . � , <br /> Drieeways-Not over Counter if on public roadways..needs ROW . <br />