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813-780-0020 City of Zeph rhills Permit Application Fax-813-780-0021 <br /> Bu Iding Department I <br /> �ate¢tec�.ive�9 Phone Conta�t for Permitting __ <br /> r <br /> Ovvner's Mame C.-�� ����/'/��GL� Ovdner Phone tdumber Ol� �J� <br /> Ovvner's Address 7 a � O�nmer 6'hone Mumber <br /> Fee Simple Tftleholder Name G� �� �•p l���� Owner Phone Idumber <br /> Eee Simpie Titleholder Address ��% �J J <br /> .DO�ADDRIESS ��;►�-��l j�[�iY � � <br /> LOT# <br /> SID�DIbISIOM PARC L ID# <br /> (OBTAINED FROM PROPERTY TAX idOTICE) <br /> HNOFd�PROPO�ED e NEW CONSTR e ADD/ LT � SIGfV Q � DEMOLISH <br /> INSTALL REPA R <br /> �ROPO§E�USE Q SFR Q COM � OTHER <br /> 7VPE OF COidSTRUCTIOM Q BLOCK Q FRAM 0 STEEL Q <br /> D�SCRIPTIOtd OE W06t6C S �,�1 <br /> IBIDILDI1dG SIZE SQ FOOTAGE HEIGHT <br /> OBUILDING $ VALUATIO OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERV�CE PROGRESS ENERGY W.R.E.C. <br /> 0 � 0 <br /> OPLUMBING $ <br /> �MECHANICAL $ VALUATIO OF MECHANICAL INSTALLATIOfV <br /> QGAS Q ROOFING Q SPECI LTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZOfVE AREA �YES NO <br /> 19UI��ER � CO PA�dV ��LD(CJ�✓G /�"T �T,P/�/A�� �EC.'i blCc <br /> SIGIdATURE RE ISTERED Y/ N FEE CURRE� Y/I�I <br /> �4ddress �•��G �0�$ -�!�'���1 �G 33�SG License# <br /> �LECTEiICIAtd CO PARlY <br /> SIGi�a4TURE REG STERED Y/ IV FEE CURRE� Y/N <br /> Address License# <br /> PLUAflBER CO PAfdY <br /> SIGEd�►TURE REG STERED Y/ N FEE CURRE� Y/N <br /> Glddress I License# <br /> MIECHAMICAL COI�IP�1RlY <br /> SIG�ATURE REGI$TERED Y/ M FEE CURRE� Y/fV <br /> i <br /> Address License# <br /> O'fHIEEt � CO PAIdY <br /> SIGfVATURE REGI TERED Y/ M FEE CURRE� Y/N <br /> S4ddress License# � <br /> RESIDETdT1AL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woticing days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities�1 dumpster;Site Work Permit for su divisions/large projects <br /> COVIHRSIERCIAL Attach(3)complete sets of Build(ng Plans plus a Life Sa�ety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Re4uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facillties&1 dumpster.Site Work Permit for all ew projects.All commercial requirements must meet compliance <br /> SIGfd PERIIAIT Attach(2)sets of Engineered Plans. <br /> °•`"PROPERTY SURVEY required for all fJEW construct on. <br /> �r.r.�ror��r��e�re����P�TI <br /> — !L.!1 <br /> Directiqns:,� � % " � <br /> Fill;out application completely. <br /> Owngr 8 Contractorsign�kack of application,notarized <br /> ,,If Qver$2500,:a Motice of Commencement(s required. (A/G upgra e5 over$7500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be omeone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERAlIITFIfdG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences( lot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />