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I 813-780-0020 City of Zephy hills Permit Application Fax-813-780-0021 <br /> Buil ing Department <br /> Date Received �Q — �Ll/.., a���� phone Contac for Permittin ��3 y o� __ �o ys <br /> Ov+rner's fdame �L(,17 f i 5 e �I�� e r�1�e Orvner Phone Mumber ��3- c3��"/3ap� <br /> O�nrner's Address � �^ Q /D �"'�' �i✓\ Owmer Phone fdurnber <br /> Fee Simple Titleholder Mame Owner Phone Rlumber <br /> Eee Simple Titleholder Address ' <br /> .lOB ADDRESS ^�O O r''�' G i Vl 2dr � �OT# �� <br /> SUBDI!lISIOM - PARC L ID�3 <br /> (OBTAINED FROM PROPERTY TAX fdOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ LT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAI <br /> PROPOSED USE Q SFR Q ,COM 0 OTHER uQ., r. � p <br /> 71(P�OF COMSTRUCTIOM Q BLOCK �Q FRAM 0 STEEL Q <br /> DESCRIPYIOtd OF WORK �a�'e- r0.r (C� L p T �� <br /> I BUILDIRIG SIZE SQ FOOTAGE HEIGHT" <br /> �-� � <br /> QBUILDING $ VALUATIO OF TOTAL CONST -CTIOM (� y�� - p�1��`� <br /> QELECTRICAL $ AMP SERV CE PROGRESS ENE GY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHAfVICAL $ VALUATIO OF MECHANICAL INSTAL _ j ��/ % <br /> �J <br /> QGAS Q ROOFING Q SPECI TY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOO ZOfVE AREA QYES IVO ( 3�� <br /> BUILDER C MPANY ���e��S f e r <br /> SIGtdATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> a►ddress ����� 13 5►S� �g j bSo N.'�'0 3 S"3 L/ License# S r ! 3 S� 7—� <br /> ELECTRICIAM C MPAIdY <br /> �IGMa►TURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# <br /> PLUM�ER C INPAMY <br /> SIGIdATURE RE ISTERED Y/ IV FEE CURRE� Y/RI <br /> Elddress License# <br /> RfIECHANICAL C AAPA1fdY <br /> SIGMATUltE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER C MPANY <br /> SIGfdATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> �lddress License# <br /> RESIDIEMTIAL Attach(2)Piot Plans;(2)sets of Bullding Plans;(1)set f Energy Forms;R-O-W Pem'�it for new construction, <br /> Minimum ten(10)working days aRer submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities 8�1 dumpster;Site Work Permit for s bdiv(sfons/large projects <br /> COAARAERCIAL Attach(3)complete sets of Building Plans plus a Life S fety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciflties&1 dumpster.Site Work Permit for II new projects.All commercial requirements must meet compliance <br /> SIGM PERMIT Attach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY required for all NEW constru tion. <br /> Directions: <br /> Fiil out applicaUon completely. <br /> Owner 8 Contractor sign back of application,�otarized <br /> If over 52500,a(dotice of Commenc�ment(s required. (A/C upg des over�7500) <br /> •• Agent(for the contractor)or Power af Attomey(for the owner)would e someone with notarized letter from owner authorizing same <br /> O!!ER THE COUNTER PERAAITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />