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�- -- �. -- --- -- ------- - -- ---- -- - ---- ---�- ----- - -- <br /> , I <br /> � ' � 813-780-0D20 City of Zephy�hills Permit Application Fax-813780-0021 <br /> Buflding Department <br /> Date Reeeived Phone Conta�for Pertnittln �� `�� — //�7 <br /> Owners Name �Q,M��� ��i,("��'L�0. ��'4 L' Owner Phone Number <br /> Owners Addresa � 7��� V � 3 3 ��� Owner Phone Number <br /> Fee Simple Tideholder Name I Owner Phone Number <br /> I <br /> Fee Simple TlBeholderAddress I <br /> JOB ADDRESS ��I��S ���1� Ci � l' t c' I LOT� j �� <br /> SUBDNISION C ro�� d/'i zv PARCEL ID# 3 y'�J vZ.I '�f yO�OOOOO-1 f f� <br /> WORK PROPOSED e NEW CONSiR B ADD/ALT Q SIGN nm FR�OM PROPERTY T�T�E)DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAMF� Q STEEL Q <br /> DESCRIPiIONOFWORK , ¢'1� �!l (�vJ �nL��T�e- <br /> BUILDINGSIZE ��� � SGFOOTAGE IC�I� HEIGFfT � <br /> �BUILDING $ Q �n� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVI E Q PROGRESS ENERGY Q W.R.E.C. <br /> �V <br /> QPLUMBING $ � `�� <br /> QMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION <br /> IQGAS Q ROOFING Q SPECI�LTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> i BUILDER • •�, •ti�•C IMPANY• • •7 • ��OT`u�n• • • •� • <br /> i SIGNATURE 1 REGISTERED Y/ N FEE CURREA Y/N <br /> I <br /> Address �7��`S ��CJ"/�s � � ' License# � .�7��eZ— <br />' 3�S <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURRE� Y'/N <br /> I � <br /> Address I License# <br /> PLUMBER COJMPANY <br /> SIGNATURE RE�3ISTEREO Y/ N FEE CURRE� Y/N <br /> i <br />' Address I Llcense# <br /> MECHANICAL CO�PANY <br /> SIGNATURE qe ISTERED Y/ N FEE CURREA Y/N <br /> Address I License# <br /> OTHER CO�PANY <br /> SIGNATURE RE ISTERED Y/N FEE CURRE� Y/N <br /> Address I Llcense# <br /> 111111111111111111111111111111111 � 111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Permit iw new construction, <br /> Minimum ten(10)working days afler submittal date. Required onsite,ConsWCtion Plans,Stortnwater Plens 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 Ptans plus a Life Safety Page;(1)set oi Energy Fortns.R-0-W Pertnit Tor new construdion. <br /> Minimum ten(10)working days after submittal date. R�quired onsite,ConsWCtion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitery Facililies 8 1 dumpster.Slte Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Ariach(2)sets of Engineered Plans: <br /> ""PROPERTY SURVEY required for all NEW consWaion. I <br /> Directlons:• <br /> FlII out appl(cadon completely. <br /> Owner 8 ConVaclor sign back of application,notarized <br /> H over 52500,a NoUce of Commencement Is required. (AIC upgraIdes over 57500) <br /> •' Agent(for the conVaclor)or Power of Attomey(for the owner)would b8 someone with notarized letter from owner euthoriring same <br /> OVER THE COUNTER PERMITTING �� (Front of Application Only) , , <br /> Reroofs'rfshingles;;. Sewe{s '•�ServiceUpgrades A/C Fences(PIoVSurvey/Footage) ' ""`"°" - ` ';- `. , _` �� , <br /> ., ' :� ' �:�• :, _ SY �.,. , � • ' <br /> Driveways=Not over Cbunter if on pubGc roadways..needs ROW � , , � � , ,. • �• . - , � <br /> �. � ,. -•� � . ;, , <br /> �?-._.�,.. ...,.. . .:..._. ,....,....T .. ��.. k < . . . _ <br /> �i . • i .. - - . . <br />