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813-780-0020 Fax-813-780-0021 <br /> City of Zeph rhills Permit Application <br /> B ilding Department <br /> . � <br /> Date Received Phone Cont ct for Permitting — <br /> Owner's Name } 4. r��.L � Owner Phone Number D " �"� !b� <br /> Owner's Address �`"6�� ��l�rV V Owner Phone Number ��31 6�Z�`3 3��j <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address " � <br /> � - <br /> JOB ADDRESS `T �� 5 2 �� �Y�)^�� �r LOT# � <br /> __ SUBDIVISION___ P CEL ID# <br /> � ` (OBTAINED FROM PROPERTY TAX NOTICE) - - -- - -— — <br /> WORK PROPOSED e NEW CONSTR e AD�/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL RE AIR <br /> PROPOSED USE Q SFR Q CO M � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q F ME,- 0 STEEL Q <br /> DESCRIPTION OF WORK h�� � <br /> BUILDING SIZE SQ FOOTAGE x�� ^2` HEIGHT <br /> OBUILDING $���T'O�-� VALUA ION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP S RVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUA ION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q S ECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FL OD ZONE AREA QYES NO <br /> BUILDER COMPANY �Tf� �C�� � )�S <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 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 REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;( )set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal d e. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster;Slte Work Perm t for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a ife Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal d te. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Perm t 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 NEW nstruction. <br /> Directions: � <br /> Fill out application completely. _' � <br /> Owner&Contractor sign back of application,notarized � <br /> If over$2500,a Notice of Commencemen�is required.,.(A/ Iupgrades over$7500) � <br /> "" Agent(for the contractor)or Power of Attomey(for the owner)vJould be someone with notarized letter from owner authorizing�same , `' �' "" <br /> OVER THE COUNTER PERMITTING (Front of Application On .). -� ' , � <br /> Reroofs If shingles Sewers Senrice Upgrades A/Cy ; F nces(PIoUSurvey/Footage) �� , � � � - � ' . <br /> Driveways-Not over Counter if on public roadways..needs RO � � - ' - ' � -� - .� <br />