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813-780-0020 City of Zephy hills Permit Applica#ian Fax-813-780-0021 <br /> Bui ding Department <br /> Date Received " phone Contac far Permltting - <br /> Ownsr's Name �(�/�/�-'� ��� Owner Phone Numl�er ��� �'�G" �.�;� <br /> Owner'sAddress /G �= ��%`"/,4�n � �ac��l ,d )7��V �nerPhoneNumber �"�7 �7� "�"!-r�� <br /> Fee Simple Titleholder Name Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JQB ADDRESS .�O�V ,�G s� /1 LOT# �� <br /> SUBDIVISION � � PAFt EL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD LT � S{GM1! [� Q DEMOLISN <br /> INSTALL REP IR <br /> PROPOSEd USE Q SFR Q COIUI � Oi'HER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRA E � STEEL Q <br /> DESCRIPTION OF WORK � G V�GM/ / � � <br /> BUILDING SiZE / f SQ FOOTACyE 3'� �� .ac� � HEIGHT � 7� � <br /> [�BUiLDtNG $3�v� VALUATI N OF TOTAL CONSTRUCTION <br /> QE�ECTRICA�. rs � AMP SE VtCE Q PROGRESS ENERGY Q W.R.E.C. <br /> L <br /> QPLUMBING �;6� 1 <br /> o L ��' ����9.�� <br /> MEGHANtCAt. $ VR�UATI �l OF MECHANlCA�INSTA�LATtON <br /> QGAS Q RCtOFING Q SPE IA�TY � UTFiER <br /> FINISHED FLOOR ELEVATIONS � � FLO D ZONE AREA QYES NQ <br /> „'...„ , . ,_ ,,.....,, <br /> BUtLDER OMPANY ���'�� �UG/ `` <br /> SIGNATURE 7-- �� EGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r� � <br /> EI,ECTRICIAN � COMPANY <br /> SIGNATURE ,, ,, ., REGISTERED Y/ N FE8 CURRE� Y/N <br /> Address License# �� � <br /> PLUM8ER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHAlVtCAC COMPANY <br /> SIGNATUF2E REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r' � <br /> �THER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> . Address License# �— � <br /> 2ESIDENTtA� Attach(2}Plo#Ptans;{2)sets of Bultding Plans;�1) et af Energy Forms;R-O-W Permit for new consfrucfion, <br /> Minimum ten(10)warking days after submlttal date Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, _ _ <br /> Sanitary Facilities&1 dumpster,Site Wor1s Permit ior subdivi$ionsllarge proJects <br /> ;.OMMERCIAL A#tach{3)corrtplete sets of Buitding Pians pius a life Safefy Page;{t}set of Energy Forms.R-O-W Permit for new construction. <br /> Minfmum ten(10)warking days'after submittal date� Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Sfte Work Permit far ait new projects.Aii commerc9al requirements must meef comptiance <br /> �IGN P�RiVII'� Attach{2}sets af Engineered Plans. - - " <br /> ""PROPER'i'Y SURVEY required for all NEW con truction. <br /> aireations: <br /> Fill out application completely. <br /> Owner&Contraotor sign back of appiication,notarized <br /> If over 325d0,a Notice of Commencement Is required. (I41C pgrades over$7500) <br /> " Agent(for the contraotor)or Power of Attomey(for the owner)wo Id be someone with notarized letter from owner authorizfng same <br /> �VER TNE COUNTER PERMiTftNG (Front of Application Only) <br /> 2eroofs if shingles Sewers 5ervice Upgrades A/C Fe ces(PIoUSurvey/Footage) <br /> BNveways-Not over Counter if on pubtic roadways..needs ROW <br />