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` 813-780-0020 City of Zephyrliills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received <br /> Phone Contact for Pertnitting <br /> . -� ' $d� `7 `�"r� �f l� <br /> . Owners Name � �� �J Owner Phone Number <br /> ..r <br /> Owners Address � � �� � 'rJ� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �rl�-LO ��O�N S (- Z�l �LS 3���� LOT# � <br /> SUBDIVISION � PARCEL ID# I I "'�� "� "�O P v �-(�/�1�"(��� <br /> (OBTAINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK 1, �Z a l _ �r Oo L� �CC ` '�j <br /> BUILDING SIZE �V d SQ FOOTAGE c���/ HEIGHT D � ' <br /> UILDING $��Q� �Q VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �— /� /��/� <br /> �( � � <br /> OMECHANICAL $ � VALUATIONOFMECHANICALINSTALLATION � Go��f�LLn. CJ <br /> cJ���'� �J <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER „ \v '� I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> � �,\J � <br /> �. <br /> BUILDER � � COMPANY �r� O�YI� <br /> SIGNATURE � REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY ' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> i <br /> Address License# ; <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N i <br /> Address License# � <br /> i <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construclion, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects � <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construc6on. <br /> Minimum ten(10)working days after submiltal date. Required onsite,Construclion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "••PROPERTY SURVEY required for ail NEW construction. <br /> I Directions:• • • • • • • • • • <br /> Fill out application completeiy. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgredes over$7500) <br /> •• Agent(for the contractor)or Power of Allomey(for the owner)would be someone with notarized Ietter 8om owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />