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813-780-0020 City of Zephyrhilis Permit Application � /� Fax 813-780-002� <br /> Building Departrnent ����vd���Q� <br /> � <br /> Date Received� Phone Conta r Parmittfn — <br /> Owner's Name Owner Phone Number <br /> � <br /> Owner's Address � Owner•Phone Number <br /> Fee Simple Titleholder-Name Gr�/� Owner Phone Number <br /> Fee Simple Titleholder Address ' <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEw CONSTR ADD/ALT Q SIGN� Q Q DEMOLISH - <br /> � B INSTALL e� REPAIR <br /> PROPOSED USE Q � SFR �] COMM Q OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK ' Q FRAME S E Q ' <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE O E� HEIGHT <br /> OBUILDING $ � � � �n - <br /> VALUATION`OF'TO`fAL CONSTRUCTION <br /> QELECTRICAL $ - AMP SERVICE Q PR`�ESS ENERGY Q W.R.E.C. <br /> � �� <br /> OPLUMBING $ � \ e�,�(�°'" ��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS [� ROOFING Q SPECIALTY .Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <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 � I:Icense# <br /> MECHANICAL COMPANIF <br /> SIGNATURE REGISTERED Y./ N �e cuwtEn Y/�N <br /> Address nse# <br /> _ , <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED / N FEE CURRE Y•/N . <br /> Addr s ' License# <br /> RESIDENTIAL AttacFi(2)�PIot:Plans;(2)sets-of=Buildtng�'Plans;(1)sef ofEneigyFortn's;R-0=W Perrtijt for new.,conshuction, <br /> Minimumjten_(�1,0);worlting;days::after�submittaCdate: Requlred onslte,ConsVucdon Plans;�Stormwater'Plans w/Sllt Fence installed, <br /> Sanitary�FacillUes:&:>1.;dumpster,8lte�Work.PermitforsutidiVislonsAargeprojects: -Y= <br /> COMMERCIAL Attach 3 com;'lete sets of Buildf'n"Plans"�lus a Life Safe Pa e; 1 set of Ene Fortns.R-O-W Pertnit for new construction. <br /> � ) P 9 p tY 9 � ) r9Y <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence installed, - _ <br /> San(tary FaciliUes&1 dumpster.Stte-Work Permit for,all new projecfs.All commerclal requlrements must meet compliance <br /> SIGN PERMIT Attach(2)"set§of Engfneered Plans,;�•:-�;: • <br /> ""PROPERTY SURVEY�eguired for all NEW construction. <br /> Directlons: <br /> FIII out applicaUon completely. , -- <br /> Owner 8 Cantractor sign back of appltcaUon,notarized, � <br /> If ovor 52500,a Notice of Commencement ta required. _(A!C upg�ades over 57500) - <br /> ,�., : <br /> " Agent(for the contractor)or Power of Attomey(fo�the`owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITIING (Front of:Applfcation'Only) " <br /> Reroofs if shingles Sewers �Senrice'.Upgrades A/C " Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs;ROW '� <br />