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813-780-Od20 City of Zephy hills Permit Applicatian Fax-813-780-0021 <br /> I Bui ding Department <br /> Date Receiveii phone Gontac for Permitting <br /> Owner's Name '�'� Dfl�Q.�' Owner Phone Number ��3 � ��" ` �3�2 <br /> Owner's Address �J Z 1 � s�' �-�1iu w Owner Phone Number <br />� Fee Simple Titiehotder Name Owner Phone Number �- 1 <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J t �. �3��' ��" F LOT# �� l�{� `) <br /> suea�vis�o� � � PAR EL ID# 1-2 -'�s -OCut�-- 0�(�0� C�t o -� -- - - <br /> —— - - � (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PE20PQSED � NEW CONSTR 8 ADDI LT � SIGN [� Q dEMO�ISH <br /> INSTALL REP IR <br /> PRQPQSED USE Q SFR Q GQM � � OTHER <br /> TYPE OF CONSTRUCTIQN Q BLOCK Q FRA E � STEEL Q <br />' DESCRIPI'ION OF WORK g�u.liwu,i' �� 6' �, �,qte � ` Ow�, O�p a�C i Si W. <br /> BUii.DING SIZE �^ � SQ FOOTAGE HEIGHT C�� <br /> QBUiLDtNG $ � bti VAl.UATt N OF T4TAL C4M1lSTF2UCTICIN <br /> QELECTE2IGAL $ � AMP SEFi CGE � PRQGi2ESS ENERGY Q W.R.E.C. <br /> QPIUMBfNG � � � �,,.('�� i] <br /> OMEGHANICAL $ VALUAT! N QF MECNANICAI INSTALLATlQN <br /> � I l l <br /> ��� <br /> QGAS Q ROOFlNG Q SPE tALTY � OTNER 5 <br /> FINISHED FLOOR ELEVATIONS �� FLO D ZONE AREA QYES NO �Y <br /> 3 <br /> BUIl.DER c� �t � - OMPANY C � (- � <br /> ' SIGNATURE y/GIw�J� G'6a��„�M GISTERED Y/ N FEE CURRB� Y/N <br /> Address A� �. t�) iQ u Gl 3 License# �— � <br /> EI.ECTRICIAN OMPAEIY <br /> SIGNATURE EGISTERED Y/ N FEE CURRE� Y/N <br /> I� Address License# �� � <br /> � P�UMBER � O[�IPANY <br /> SIGNATURE EGISTERED Y/ N FEE CURRE� Y/N <br /> IAddress L.ieense# �— � � <br /> MECHANICAL OMPANY <br /> 51GNATURE EGISTEFtED Y/ N FEE CURRE� Y/N <br /> Address License# �— �� <br /> �TtlER OMPANY � <br /> 51GNA7URE r EcisTEa�o Y/ N FEE CURRE� Y/N <br /> Address l.icense# �` � <br /> 3EStDE1V'flAL Attach{2}Piot Plans;(2)sets of Building Pians;{1}s t of Energy Forms;R-Q-W Petmit far new construc�on, <br /> Minimurn ten(14}working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sitt Fence installed, <br /> Sanitary Faciltties&1 dumpster;Site Work Permit fo subdivisionsAar�e projects <br /> :OMMERC1i4L Attach(3}cornplete sets of Building Plans plus a Life Safefy Page;{1)set of Energy Fosms.R-O-W Permi#for new constructlon. <br /> Minimum ten(10)working days'after submittat date. Required onsite,Conskruction Plans,Stormwater Plans w/Sflt Fence installed, <br /> Sanitary FacOities 8 1 dumpstec Site Work Permit fa all new projects.All commercial requirements must meet compliance <br /> 3tGN RERMIT Aftac(�(2)sets of Eng3neered Ptans. <br /> ""'PROPERIY SURVEY required far ail NEW cons ction. <br /> }Erect�ons: <br /> Fill out applic�tion completely. ' <br /> Owner&Contractor sign back of application,notarized i <br /> 1f aver$2500,a Notice of Carnmencemen#is reqaFred. {AiG up rades ov�r$�504} �, <br /> ` Agent(for the contractor)or Power of Attomey(for the awner)woul be someone with notarized letter from owner authorizing same � <br /> �VER TNE C4tJE1TEi2 PERMtTTtPtG {Front of Apptication Only) , <br /> teroofs if shingles Sewers Service Upgrades A/C Fenc (PIoUSurvey/Footage) <br /> Drlveways-1+Jot over Counter if on public roadways..needs ROW <br />