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'i <br /> . : i <br /> , 813-780-0020 City of Zeph�Iyrhills Permit Application Fax-813-780-0021 <br /> uilding Department <br /> Date Received 3sz. �G$ _ �f8 7S <br /> Phone Cont ct for Permitting <br /> Owner's Name �' I Owner Phone Number I <br /> � <br /> Owner's Address T• Owner Phone Number i <br /> I <br /> Fee Simple TiBeholder Name Owner Phone Number <br /> Fee Simple litleholder Address <br /> JOBADDRESS � � � LOT# � <br /> SUBDIVISION PA I CEL ID# � ` <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR B AD�/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REIAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIP770N OF WORK � I C- G S�S y�-� <br /> BUILDING SIZE SQ FOOTAGE � D / HEIGHT � <br /> ����� $G� (.,+�� 2 VALUA ION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SE VICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ��\ <br /> QMECHANICAL $ VALUA ION OF MECHANICAL INSTALLATION y} `� 1 <br /> '�� <br /> QGAS Q ROOFING � SP CIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FL OD ZONE AREA QYES NO <br /> BUILDER A A �1, (�,� ��N ��..0 COMPANY 'v ��+ •���N� �V� ��� <br /> SIGNATURE �� � ���' REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COM PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> M ECHANICAL COM PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> IIIIIItllillllllllllllllllllllllllllllllllllllllltllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1'y set of Energy Forms;R-O-W Permit for new construction, <br /> Min�mum ten(10)working days after submittai datb. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Pians plus a I�ife Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Min�mum ten(10)working days aker submittal dat�e. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permi for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW co struction. <br /> Directions: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the conlractor)or Power of Attorney(for the owner)w uld be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicalion Onl ) <br /> Reroofs if shingles Sewers Service Upgrades A/C �nces(PlotlSurvey/Footage) <br /> Driveways-Not over Counter ff on public roadways..needs RO <br /> I <br />