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s��-�so-oa2o City of Zeph rhills Permit Application Fax-813-780-0021 <br /> B iiding Department �Jf 2 ,. ��.-�,,'�..,j� I �y�.`F <br /> Date ReceiSred ' '� ..- � � ` 1 �` J <br /> Phone Cont ct for Permitting ���` c5�¢�. - �(1��? �4� <br /> Owner's Name C- � Owner Phone Number ,!__ <br /> Owner's Address Owner Phone Number �— � <br /> Fee Simple Titleholder Name Owner Phone Number � � <br /> I <br /> ! <br /> Fee Simple Titleholder Address ` <br /> � <br /> I �JOB ADDRESS � ���� 0� �I lQT# <br /> SUBD1VISiON � � P GEL ID# `�.1 "�(l Q "- �.�d� "' �/-�-� <br /> _ .,.._._ _ _�_ =�- <br /> - -__- =--"_ __, _ _�_.__� __ - _�_-_ --�pB�AINED FROM PROPERTY TAX-NOTICE)-,�-.._.. _. _ _ _ <br /> WORK PROPOSED , � NEW CONSTR 8 AD lALT � SIGN Q Q DEMOLISH <br /> INSTALL RE AIR i <br /> PROPOSED USE Q SFR � Q , CC�MM ;� QTHER <br /> 7YPE OF CONSTRUC710N Q BLOCK Q F ( nn� �� STEEL � <br /> DESCRIPTION OF WORK /�-�= ���s`- �/��✓� di� �J,�tf� _ .r�G ��fJ� �°��L <br /> , <br /> BUtL.D1NG 8128 � � SQ FQOTAGE ( HEIGHT ���� <br /> i <br /> OBUILDING $ �� � VALU tONOF IOTALCC}NSTRUC'fiQN <br /> DELECTRICA� $ AMP S RV4CE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � O b <br /> �MEGHANICAL $ VALU TION OF MECHANICAL INSTALLATION �1(, �� • <br /> '+c <br /> �GAS Q ROOFING Q S ECIALTY � OTHER <br /> FINISHED FIQOR ELEVA710NS C�—� F OOD ZQ i E AREA QYES NO <br /> BUILDER � COMPANY �' <br /> SIGNATURE _ REGISTERED Y/ N FEE CURRE� Y/N <br /> Address t,icense# �— �� � , <br /> ELECTRICIAN i COMP I Y <br /> SlGNATURE REGISTERED Y/ N FEE CURREt� Y/N <br /> Address I License# � �� <br /> PLUMBER GOMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# ���r � <br /> MECHANIGAL ^^ � COMPI Y <br /> SlGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ( I.icense# ��� � <br /> QTHER f''! � �4 � COMRIANY /P�'?`(�/N` ���.���" <br /> SIGNATURE �""��""' '�/ r REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address � ��� f.3�� �f��- �-t �� �icense# 8�1����,/� � <br /> � <br /> RESfDENT1AL Attac�(2}Plat Plans;{2)sets oF Building Plans;(1)set of Energy Forms;R-O-W Permit for new const�uction, <br /> Minimum ten(10)working days after submittal ate. Required onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciiities&1 dumpster;8ite Work Pe if for subdivisions/large projects <br /> COMMERCIAt. Attach(3)eamplete sets of Buiiding Plans pius �ife Safety Page;{1}set af Energy Forms.R-CI-W Permit far new construction. <br /> Minimum ten{10)working days after submittal ate. Required onsite,Canstruction Plans,Stormwatec Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Per it for all new projects.A�i cammercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sefs of Engineered Plans. ` <br /> """PROPERTY SURVEY required for all NEW nstr'uction. <br /> i <br /> directions: <br /> fi41 out app3ica6on comptetely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. ( C upgrades over$T5d8) <br /> " Agent(for the contractor)or Power o#Attomey(for the owner} ould be iomeone with notarized letter from owner authorizing same <br /> OVER THE CQUN7ER PERM1'iTING.;-'�� (Front of:Apptication,O,ty)_,,,.,,, �, <br /> Reroofs if shingles Sewers :,3enrice Upgrades':AIC�;_,. Fences{PIoUSurveylFootage} . <br /> Driveways-Not over Counter if on putilia roadways::needs�R , � �� <br /> „ ' '�} <br />