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a�s-�$o-oozo City of Zeph rhills Permit Application Fax-813-780-0021 <br /> B ilding Department <br /> Date Received, -- . Phone Cont ct for Permitting — <br /> Owner's Name � � Owner Phone Number � ��— ' ( <br /> Owner's Address ��ln Z f 1� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> / <br /> Fee Simple Titleholder Address � <br /> 0 <br /> JOB ADDRESS LOT# � <br /> 1 <br /> I. $UBDIVISION___ l G� ��� P CEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� AD /ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL RE AIR <br /> PROPOSED USE Q SFR Q CO M , �0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q F ME � STEEL Q <br /> DESCRIPTION OF WORK GI\1�1 ��1'�� YL c-'�� I 0 6 � )C / / <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 7 � <br /> OBUILDING $ �Ub� VALUA ION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP S VICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> �l <br /> �MECHANICAL $ VALUA ION OF MECHANICAL INSTALLATION � �� <br /> QGAS Q ROOFING Q SP CIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FL OD ZONE AREA DYES NO <br />� <br /> BUILDER COMPANY �� rA�I�Y�.-�+ (,�Y'�-(3CJ <br /> SIGNATURE C REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br />� ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br />� OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1 set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal dat . Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities&1 dumpster;Site Work Permi for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a ife Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal dat . 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 campletely. �- <br /> Owner 8 Contractor sign back of application,notarized ' , � � <br /> If over$2500,a Notice of Coinmericement is��re_quired;,"(A/C` pgrades over$7500) .,. .,.. __, , , , _ . ' ' <br /> ;,� '� , <br /> "" Agent(for the contractor)'or Power.of Attomey(for the owner),w uld;be someone with notarized letter from owner authorizing,same ._ <br /> - - . :-r� ' <br /> OVER THE COUNTER PERMI7TING �' _ ' (Front;of Application Onl , • � � , _ <br /> Reroofs if shingles Sewers. _-.,...,..Service.Upgrades..AlC.:�;='��F ces(PIoUSurvey/Footage) " ; <br /> Driveways-Not over Counter if on public roadways..needs ROW ~� <br />