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i <br /> , ' 813-780-0020 Cfty of Zep�iyrhills Permit Application Fax-813-780-0021 <br /> Building Deparlment <br /> � Date Recelved Phone ontact for Permitting — �(� - <br /> ✓ <br /> Owner's Name �OI'�/�C�. �/�/I7(�S � Owner Phone Number � �/ d <br /> Owner's Address �rh� C.� . Owner Phone Numbar <br /> Fee Slmple Tltlehoider Name Owner Phone Number <br /> Fee Simple Tltlehoider Address <br /> J08 ADDRESS Q � ^1 L ,33,�y��oT# � <br /> SUBDIVISION PARCEL ID# I G Z� D D � D <br /> (OBTAMED FROM PROPERTY TA)(NO IC� <br /> WORK PROPOSED e NEW CoNSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM O�OTHER — <br /> _ TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL <br /> DESCRIPTION OF WORK � D� p� r IO S � <br /> BUILDING SIZE SQ FOOTAG S HEIGHT � <br /> OBUILDING $� O V UATION OF TOTAL CONSTRUCTION <br /> I DELECTRICAL $ A P SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ q <br /> �`��� <br /> QMECHANICAL $ V UATION OF MECHANICAL INSTALLATION <br /> QOAS Q�ROOFING Q SPECIALTY Q OTHER <br /> i FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMP Y GJ��r S � I <br /> SIGNATURE REGIST RED / N FEE CURRE� Y/N <br /> Address �i License# �� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N F�CurutEn Y/N <br /> Address License# <br /> PLUMBER /COMPANY <br /> SIGNATURE �REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER • COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> Illllllllllilllllllllllllllllllllllllllllllllllllllllllllllllltlltl <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pla s;(1)set of Energy Forms;R-O-W Permlt for new constructlon, <br /> Minimum ten(10)working days after submitt I date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster;Site Work P rmit for subdivisions/large proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans pl s a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. � <br /> Minimum ten(10)working days after submi I date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Fac(lities$1 dumpster Site Work rtnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> � ""PROPERTY SURVEY required for all NE construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notfce of Commencement is requlred. AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the own r)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIITING (Front of Application Only) <br /> Reroofs if sh(ngles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter ff on public roadways..needs OW <br /> I � <br />