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813-7e�0-0020 City of Zephychills Permit Application Fax-813-780-0021 <br /> +� Building Department <br /> Date Received -�-' phane CaMact for Permitting - ,� <br /> Owna�'s Name v���� Owner Phone Nunnber � <br /> Owner"s Address J � �.�{�G�{Z-� �``� l_.1-� Owper Phane Num6er �� � <br /> Fee Slmple Titleholder Name �� � Owner Phone Number �— � ' <br /> Fee Simple 7ltleholder Address <br /> JOB ADDRESS � �S� �U S�Qfa�t,,,\1,���' �� LOT# [,� <br /> SUBDIVISION �� � p,ARCEI.ID# <br /> (OSTAtNED PROM PRQPERTY TAX NQTICEa <br /> WORK PROPOSED , � NEW CONS7R 8 ADD/ALT [� SIGN [� [� pEM01.ISH <br /> INSTALI, REPAIR <br /> PROPOSED USE Q SFi2 � COMM � OTHEFt <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK \ ���� � t <br /> BUII.DING S1ZE �_�`�'4,�`�� .._l SQ FOOTAGE� HEIGH7 <br /> �BUiLDiRtG $ �)..---_�� VALUATION OF TOTAL CONSTRUCTION ', <br /> l <br /> QEI.ECi'RICAL ($ . � AMP SERViCE Q PROGREBS ENERGY Q W.R.E.C. <br /> �--- �-�7 2,' <br /> Q�LUMair�G � ��� � <br /> q �.-- �� <br /> QMECHANICAL $ VAtUATlON OF MECHANfCAL INSTALtAT10N � <br /> �j �Gr <br /> QGAS Q RQOFING � ` � <br /> Q SPECIAl.TY C� OTHEFt <br /> FINISHED FL.00R ELEVATIONS �_____..� FLOOD ZONE AREA QYES NO � <br /> � <br /> BUt�DER C4 P� �"JL.1lL-'� ���� � lv..,. <br /> SIGNAT REGISTEREb ' Y/ N FEE CURRE� Y/N <br /> e$�' License# � � <br /> EIECTRiC1AN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# �i � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# �- � <br /> MECHAFtIGAL CQMPANY <br /> SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> OTNER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# � � <br /> RESIDENTIAI. At#ach{2}Ptot Pians;{2}sets of Bullding Plaris;{1)set of Energy Forrr�s;R-O-W Permit tor s�aw canstruction, <br /> Minimum ten(10)working days after submittal date. Requlred onsite,ConsVuction Plans,Stormwater Plans w/Sllt Fence installed, <br /> Sanitary FaciliUes&1 dumpster,81te Work Permit for subdivislons/large projects <br /> COMMERClAL Attach(3)comptete sets of Bulldirig Plans plus a Llfe Safety Page;{1)set af Energy Forrns.R-O W PeRntt for new canstructian. <br /> Minimum ten(10)working days'after submittal date. Required onsite,Canstruckion Plans,Stamrwater Plans w/Silt Fence installed, <br /> Sa�itary Facilities&1 dumpster.Site Wo�k Permit for a0 new proJects.All commercIal requtrements must meet comp{iance <br /> SIGN PERMlT Attach{2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW constnacUon. <br /> Diractlons: <br /> FIII out applicatian completely. <br /> Qwner&Contractor sign back of appiicaflon,notarized , <br /> tf over y2500,a Nattae of Commencement is required. (A!C upgrades over S79Qd) <br /> " Agent(for the contractor�or Pawer of Attomey(for the owner)would be someone with nota�ized letter from ow�er authorizing same <br /> OVER THE COUNTER PERMITTING��� � �(Fmnt af Application Qniy} ,� - - • . ' '; ' " `. � _ , <br /> Reroofs if shingles Sewers , Service Upgrades A/C Fences;(Plot/Survey/Foatage) d � - <br /> , ' , t �..� ' , <br /> Driveways-Not over Counter if on putilic"roadways.,needs ROW ��� , �.�,. <br /> .�. ._-. ., . � .. ,. . .. .. . .x....,.....,_,..,.,... .,�.... .,.. _.� ' , '. <br />