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a�aaso-oozo City of Zephy hills Permit Application Fax-813-780-0021 <br /> Bu ding Department <br /> � <br /> Date Receivetl Phone Conta t for Permitting — <br /> Owner's Name �� Owner Phone Number <br /> Owner's Address z j'"f�� ��• Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address i <br /> JOB ADDRESS 7oZ o� �� S�, LOT# � I'i <br /> SUBDIVISION PAR EL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD LT 0 SIGN Q Q DEMOLISH <br /> INSTALL REP IR <br /> PROPOSED USE Q SFR Q COM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRA E 0 STEEL Q <br /> DESCRIPTION OF WORK �(,l)� IG�C�Q e <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> OBUILDING $ VALUATI N OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SE VICE Q PROGRESS ENERGY W.R.E.C. <br /> � <br /> PLUMBING $ <br /> �� 3���� <br /> QMECHANICAL $ VALUATI N OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPE IALTY Q OTHER <br /> I FINISHED FLOOR ELEVATIONS FLO D ZONE AREA QYES NO <br />�IBUILDER OMPANY <br /> SIGNATURE EGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> I ELECTRICIAN OMPANY <br /> I SIGNATURE EGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br />' PLUMBER OMPANY I I `'� l�L�t t� I'�C� jh OL , <br /> SIGNATURE EGISTERED Y/ N FEE CURRE� N <br /> Address c�U�S (N��� �'o l�s '�-'�+ <br /> License# <br /> MECHANICAL OMPANY <br /> 51GNATURE EGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> �THER OMPANY <br /> 51GNATURE EGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> �ESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1) et of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanftary Facilities&1 dumpster;Site Work Permit f r subdivisionsflarge projects <br /> �OMMERCIAL Attach(3)complete sets of Building Plans plus a Lif Safety Page;(1)set of Energy Forms.R-O-W Permit far new construction. - <br /> Minimum ten(10)working days'after submittal date. Required onsfte,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit f r all new projects.All commercial requirements must meet compliance <br /> �IGN PERMIT Attach(2)sets of Engineered Plaris. <br /> ""'PROPERTY SURVEY required for all NEW con truction. <br /> )irections: <br /> F(II out application completely. <br /> Owner&Contractor sign back of applfcatfon,notarized <br />, If over$2500,a Notice of Commencement is required. (A/C u grades over 57500) <br /> ' Agent(for the contractor)or Power of Attomey(for the owner)wou d be someone with notarized letter from owner authorizing same <br /> )VER THE COUNTER PERMITTING `(Front of Application Only) � <br /> teroofs if shingles Sewers Service,Upgrades; NC,; Fen es(PIoUSurvey/Footage) <br /> � � • <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />