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°"-'�"-"""' City of Zephy hills Permit Application -� Fax-813-780-0021 <br /> Buil ing Department <br /> Date Received �� ^ �Ql� ,/� �� -- � � <br /> Phone Contac for Permittin <br /> OvWner's Name �. �� � d¢��� Owner Phone Number <br /> Owner's Address 9� �Z � � ��l <br /> Owner Phone Number <br /> Fee Simple Titleholder Name fi Owner Phone Number <br /> .s-- • ... <br /> Fee Simple Titleholder Address - -- ---- �--•--�--... __. <br /> I JO�ADDRESS 3 �-�- � Z -- ��', .-_ e-, -., <br /> � r � ------°-----�---�_ LOT# � <br /> - – -�_�._ , � ` � <br /> SUBDIVISION - � � ""'� <br /> � ------- --------------__._ ` PARC L ID# - � S / Z <br /> (OBT D FRO <br /> lNORK PROPOSED B NEW CONSTR ADD/A T � SIGN Q Q DEMOLISH <br /> INSTALL REPAI <br /> PROPOSED USE O SFR ` ' COMM <br /> �� OTHER <br /> TYPE OF CONSTRUCTIOM Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK -�����I GL� 2�P ��-—�'/z!�G��'-'��� <br /> BUILDING SIZE � SO P� SQ FOOTAGE HEIGHT 1� <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 7i E� d afl�6�D <br /> QELECTRICAL $ AMP SERVI E 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� <br /> 7 <br />, QMECHANICAL $ VALUATION F MECHANICAL INSTALLATION � ��� <br /> QGAS Q ROOFING Q SPECIA TY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO <br /> � � � <br /> S GNATURE �.i CO Pl4NY � s� �/�Y �W�����/2ld'1/'� � <br /> REGI TERED Y/ N FEE CURRE� N ' <br /> alddress rp,,�10 ,d 4 Ga �v,, � !1 � License# �C� / O O <br /> ELECTRICIAN CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUIIABER CO PAMY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL. COM ANY <br /> SIGNATURE REGI ERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COIVI ANY <br /> SIGNATURE REGIS ERED 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 tor new construction, <br /> Minimum ten(10)working days after submittal date. Req ired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facillties 8 1 dumpster;Site Work Permit for sub ivisions/large proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Saf ty Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Req ired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilit(es 8 1 dumpster.Site Work Permit for all r�ew projects.All commercial requirements must meet compliance <br /> SIGN PERMiT Attach(2)sets of Engineered Plans. - <br /> ••"'PROPERN SURVEY required for all NEW consVuctfqn. <br /> Directions: <br /> Fill out applicatlon.completely. , , <br /> Owner&Contractor'sign back"of appifcatio"n;–notaiized <br /> If over 52500,a No,tice.,of Commencement ts required. (A/C upgrad s over�7500) <br /> •• Agent(fo�the contractor)�or Rower of Attomey.`(fo�the ovmer)would be omeone with notarized letter from owner authorizing same <br /> ,. �:.�.: . <br /> OVER THE COUMTER PERMITTING_-t...,a.,•„(F�flr�tb�.Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(P oUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />