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813-780-0020 City of Zeph rhills Permit Applicatian Fax 813-7&0-0021 <br /> B ildtng Department <br /> � q `� <br /> , <br /> Date Received Phone Gont ct for Permitting ��� � CZ – � J�f <br /> Owner's Name � �"'� '�U Y"3 Owner Phone Number � � ^ i(�"`�� <br /> ���� „ <br /> ''� { i ! y <br /> Owner's Address ,,y l�t!C Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number �� � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � V"�� �^��� �� LOT# ��� <br /> St18dIVIS10Fi �� � P CEL ID# <br /> — __ _ _ __ _ _ _ (OBTAINED FROM PROPERTY TAX NOTICE) <br /> .__ . <br /> "`_ -- — _ __ _� . -- - _ <br /> WORK F[tOPOSED NEW CONSTR RlA�T C� SIGN Q Q DEMOLISH <br /> � INSTALL 8 R PAIR <br /> PROPOSED USE Q SFR Q C MM � QTHER <br /> TYPE OF GONSTRUCI'!ON Q BLOCK Q F ME � STEEL � <br /> DESCRIPTION OF WORK • v'1 3 {�� <br /> BtIILDiNG SIZE SQ FOOTAGE HEICaHT <br /> �BUILD4NG � � VALU ION OF TOTA�CONSTRUCTION <br /> C]ELECTRIGAL � � AMP S RVIC� 0 PROGRESS ENERGY [� W.R:E.C. <br /> QPLUCUISlNG $ � ���b <br /> .., ,..,— � �5 <br /> ,,�lECHANICAL $ /„ !„ �. VALU TION OF MECHANICAL INSTALLATION <br /> LY ut " <br /> �GAS [� ROOFING Q S ECIALTY � OTHER <br /> FINlSHED F�OOR ELEVATIONS �� F OOQ ZONE AREA QYES NO <br /> BUILDER � � COMPANY <br /> 51GNATURE ftEGISTERED Y! N FEE CURRE� Y/N <br /> Address License# �� � <br /> ELECTRICIAN C4MPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREI� Y/N <br /> .., .—._._ <br /> Address License# �— �1 <br /> PLUMBER COMPANY <br /> SIC�NATURE REGI&TERED Y/ N FEE CUFtRE� Y/N <br /> Address License# �— ��� <br /> � �,.:,,_,.._,..�,—. � COMPANY f`�-a.J�r� <br /> MECHANICAL .� <br /> $IGNATUI2E _ REGISTERED FEE CURRE� Y/N <br /> Address License# �� ��� <br /> OTHER COMPA[VY <br /> SlGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �—.� License# <br /> I �� <br /> RESIDENTtAi. Attach{2}Fiot Pians;(2}sets of Buitding Plans;{1}set aF Energy Forms;R-O-W Permit far new construction, <br /> Minimum#en(10)working days after submittal ate. Required onsite,Construc#ion Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pe it for subdivisions�arge projects <br /> COMMERCIAL Attaoh(3}comptete sets of Building Plans plus Life Safety Page;{1}set of Energy Forms.R-t7-W Permit far new constructian. <br /> Minimum ten{10)woricing days after submittal ate. Required ansite,Construcklon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Pe it for all new projects.All cammercial requirements must meet compiiance <br /> SIGN PERMIT Attacfi(2}sets of Engineered Ptans. _ . -" ' <br /> '*"PROPERTY SURVEY required for aN NEW canstructian. � <br /> Directions: <br /> Flii out app{icaYson comp{etety. -� - - -� <br /> Owner&Contractor sign back of application,notarized r ,'r <br /> If over$Z500,a Notice of Commencement is.7eqe�ired.' ( C.`upgrades over$T5dQ) ' � ` <br /> " Agent(for the contractor)or Power of A#fomey(for the,Qwner)wou�d.tie someone with notarized tetter�ftom owner autMorizing,same ' -1��,�� <br /> OVER THE COUNTER PERMITTING ,(Front of Appticafion nly) ` " "" _ . <br /> Raroofs if sh'sngles Sewers • °=Senrice Upgrades,:AlC Fences(PtotlSuroeyJFoa#age} , `° ° <br /> , . <br /> .,.<..,., ....,. , . ,. <br /> Driveways-Not over Counter if on public roadways..needs R W , ''���, t ; � `��-� ��� �•�•��F't' '," � <br />