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� . 813-780-0020 City of Zeph rhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recefved � 2�—� phone Contalct for Permittin 1 �v�-� V C.V <br /> Ownefs Name 1� � Owner Phone Number <br /> / <br /> Owner's Address (r �V Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS � "1 4L�I v' • �L � � • LOT# � <br /> SUBDIVISION r ' I PARCEL ID# �����1'0`�V"VI..�JIJV �� �Jl! <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CoNSTR e ADD�ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPPIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRA E � STEEL Q <br /> DESCRIPTION OF WORK <br /> �' <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ j �� VALUATI N OF TOTAL CONSTRUCTION �S�`� <br /> �ELECTRICAL $ AMP SE VICE 0 PROGRESS ENERGY Q W.R.E.C. � <br /> QPLUMBING $ � �� �a�,,, �__ ���./'_ r' <br /> ` � i�,�'- Y�'�o uQ c�— <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION� � �•� <br /> � ���G(�'fi� �-� <br /> QGAS Q ROOFING Q SPE IALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLO�D ZONE AREA �YES NO� �" " <br /> i <br /> SIGNATURE , j/ �' � .' � `_COMPANY� �1 J��1 f�l�P ��T 11 �G <br /> 1; �� <br /> Address � 'l-\ L l � � � I ' License# �C V�.J <br /> r' � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE �2EGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> � <br /> PLUMBER C!OMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> � <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE �2EGISTERED Y! N FEE CURRE� Y/N <br /> Address I License# <br /> I <br /> OTHER COMPANY <br /> SIGNATURE �2EGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1) et of Energy Forms;R-O-W Permi[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 Pertnit f r subdivisionsAarge projects I <br /> COMMERCIAL Attach(3)wmplete sets of Building Plans plus a Lif'Safery Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w!Silt Fence Instailed, <br /> Sanitary Facilitles&1 dumpster.Site Work Permit f r all new projects.All commercial requirements must meet compliance I <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW cons ruction. <br /> ,M, <br /> Directions:• <br /> Fill out application completely. ' <br /> Owner$Contractor sign back of application,notarized <br /> If over$2500,allotice of Commencement is required. (A/C u gredes over$7500) <br /> " Agenl(for the contractor)or Power of Attorney(for the owner)woul�be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fen es(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />