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813-780-Q020 Ciiy of Zephy hills Permit Application Fax-813-780-0021 <br /> Bui ing Department <br /> Date Received �'"' �� _l,� p}�ane Contac for Permitting � 02 � - ���� <br /> Owner's Name hl� 2►21 Owner Phone Number ��3'".��.�a��� <br /> Owner's Address / � /"'lL'rL.Y�n.~-�-V i«�- Owner Phone Number r � <br /> Fee Simple Tltleholder Name Owner Phone Number �� � <br /> Fee Simple Titlehalder Address - <br /> J48 ADDRESS `��� rG�s�'�-Y'<<� • LOT# �.5 <br /> sue��vrs�oH L.,�S�--vtet�,i N�7(�� P/t.R ELtD# �=°2�-°�` I -�l�G - c��oc�� =c�S'3� - - -- - <br /> ' (097AINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSEQ e NEW CONSTR 8 ADd! LT � ,StGN Q Q dEMO�ISN <br /> INSTALL REP IR <br /> PROPOSED USE � SFR Q GOM � QTNER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRA E [� STEEL Q <br /> DESCRtPTiON QF WORK -�-tn,�-al� =���r' �o� � -�� -�cIS�Cf.�{ <br /> BUILDlNG SiZE �� � SQ FOOTAGE HEIGHT ��_� <br /> QBUiLD1NG �3� VALUATI N OF TOTAL CONSTRUCTION <br /> QELECTRICAL �>_----� AMP SE ICE � PROGF2ES5 ENEF2GY Q W.R.E.C. <br /> QPl.UMB1NG $� , �o a � <br /> �MEGHANIGAI $ � VAl.UATI N QF MECHANtCAL INSTA�LA7IQN 1�� �� <br /> � ` (� (,� <br /> QGAS Q ROOFING Q SPE tAtTY [� OTHER � �jd Il �`�r` <br /> FINISHED FLOOR ELEVATIONS FLO D ZONE AREA QYES NO P���� 1 <br /> y ��`� <br /> Bu��aER o�P�r <br /> SIGNATURE EGISTERED Y/ N FEE GURRE� Y/N <br /> Address License# �- `� <br /> ELECTRICIAN OMPANY <br /> SIC.yNATURE ,,,,, EGISTERED Y/ N FEE CURRE� Y/N <br /> Address L,icense# �- � <br /> V ,/} <br /> PLUMBER �.... � OMPANY t'i�.r•C�n ��at- ��Gs"',S � <br /> SIGNATURE EGISTEfiED Y/ N ' FE6 CURRE� Y/N <br /> Address �icense# �VCG,�"�'�,�� � <br /> MECMANIGAL OMPANY <br /> 51GNATURE EGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> DTHER OMPANY <br /> 51GNA7URE EGISTERED Y/ N FEE CURRE� Y/N <br /> Address I.icense# �i � <br /> �ESIDEN'TiAL Attaoh(2)Piot Pians;{2)seLs of Building Plans;(1} et of Energy Fonns;R-O-W Permit far new constrvction, <br /> Minimum ten(1d}working days after submittat date. Ftequired onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facil(tles&1 dumpster;Site Work Pennit f r subdivisiansAarge projeots <br /> �ONIMERCIAI Aftach{3}camplete sets of Buitding Plans plus a Lif Safety Page;{1}set of Energy Forms.R-O-W Permit for new constructton. <br /> Minimum ten(10}working days'after submittal date. Required onsite,Construction Plans,Starmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pe�nit r all new proJects.All commercial requirements must meet compliance <br /> 5lGN PERMIT Attach{2)sets af Eng3»eered Plans. <br /> '*"PROPERTY SURVEY required for all NEW con truction. <br /> }Ireat�ans: <br /> Fill out appiication completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> if aver;62504,a Natice af Cvmmenaement fs required. {AJG u grades over$T500j <br /> ' Agent(for the contractor)or Power of Attomey(for the owner)wou be someane with notarized letter from owner authorizing same <br /> }VER THE GOUNTER PERM17'TING {Frant of Application Only} <br /> 2eroofs if shingles Sewers Servlce Upgrades AJC Fen es(PIoUSurvey/Footage) <br /> Drtveways-Not over Counter(f on public roadways..needs ROW <br />