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813-780-0020 City o Zephy�hills Permit Applic t'orn—� Fax-813-780-0021 <br /> Buildfng Department <br /> . � I�. �-I �1. <br /> �Date Fteceived � Pho e Contac6 for Permitting � -- � <br /> : <br /> Owner's bame �.Q, � Owner F'hone Idumber ��` �� • �� <br /> Oevner's Address � �� • Ov�mer Phone fdumber <br /> Fee Simple Titleholder ldame Ou�mer Phone Idure�ber <br /> I <br /> I <br /> Fee Simple Titleholder Address � <br /> JOB EIDDRESS � LOT# C� <br /> i <br /> SUBDIbISIOtd P�4RCIEl,-1�� - 1 ' • p� l ' l o ° - <br />-"" (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 4MORF(PROPOSED � NEW CoNSTR e ADD/ALT 0 SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> �ROPO�ED USE � SFR Q COMM 0 OTHER <br /> '9VPE OF COfdSTRUCTIOtd Q BLOCK Q FRAME � STEEL Q <br /> D�SCRIPTIO(d OF WORI( <br /> \ . 1 ��C. � i <br /> BUILDIfdG SIZE � SQ FOOTA E � EiEIGHT � <br /> �UILDING $ (7 ALUATIOIV OF TOTAL CONSTRUCTION <br /> �]ELECTRICAL $ MP SER IICE � PROGRESS ENE . .C. <br /> QPLUMBING $ I ��OJ� � <br /> � � �- �� <br /> ��� <br /> OMECHANICAL $ ALUATION OF MECHANICAL INSTALLATIO ` � . <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER . L���j�-28`�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO � �Q��d��y'� <br /> Lfy1 <br /> BUILDER � COMPANY , � � <br /> SIGId41TURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � .I License# <br /> I <br /> �LECTRICIAfd COMIP�4f�Y <br /> SIGM�ITURE REGISTERED Y/ IV FEE CURRE� - Y/N <br /> e4ddress I License# <br /> I <br /> PLURf��ER COIkIPAfdV <br /> SIGid64TURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Elddress I License# <br /> I <br /> MECHAfdICd1L COMPd1tdY <br /> SIGl�ATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Address I License# <br /> I I <br /> OTHER COMPANY ' <br /> SIGPdATURE REGISTERED Y/ N FEE CURRE� Y I T� <br /> � <br /> �ddress ; License# <br /> RESIDEfdTIAL Attach(2)Plot Plans;(2)sets of Building PI ns;(1)set of Energy Forms;R-O-W Permit for new construction, � <br /> Minimum ten(10)working days after submi al date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 8�1 dumpster;Site Work ermit for subdivisions/large projects <br /> COi#AAAERCIAL Attach(3)complete sets of Building Plans p us a Life Safety Page;(1)set of Energy Forms.R-O-W Permit tor new construction. <br /> Minimum ten(10)wrorking days after submi tal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work ermit for all new projects.All commercial requirements must meet compliance <br /> SIGM PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all N W construction. <br /> Directions: I <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> .. 9�oeer 52500,a Idotice of Commencement(s required. (4UC upgrades over$7900) <br /> Agent(for the contractor)or Power of Attomey(for the o er)would�be someone with notarized letter from owner authorizing same <br /> OVEPt THE COUtdTER PERMITTIfdG (Front of Applicatio Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW � <br /> i � <br />