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813-780-0020 City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Building DepaRment <br /> Da4e Recel�ved ' Phone Contact for Perm�i�n� l 3 vZ- -- .���� <br /> -IT1� <br /> Owner's�lame -�. Owner Phone Number �(g�`Z� � '��L� <br /> Owner's dddress � �` �wner Phone Number <br /> Fee Simple Titleholder Plame � � Owner Phone Numbee <br /> Fee Simple Titiehoider Address <br /> JOB ADDRESS � �� LO�� �� <br /> SUBDIVI310N � PARCEL ID# 6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INST/�LL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTIOfd Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIOAI OF WORK Y� 6 � S�� 1/[ <br /> BUILDING SIZE SQ F�OTAGE � I � HEIGHT <br /> � <br /> �BUlLDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELEGTRIC�L � AMP SERVICE Q PROGR�SS€N€RGY [� W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL IfVSTALLATION �` �� �9 <br /> QGAS � ROOFIfdG Q SPECIALTY � OTHER <br /> �iNISHED FL�OR ELEV,�TI�NS FLDOD Z�NE AREA �1'E5 N� <br /> c <br /> ,r <br /> BUILDER ' COMPANY � ~ <br /> SIGNATURE REGISTERED ' N FEE CU RE� Y/ <br /> Address License# (_�.� l?�.S�i'� � � <br /> ELECTRICIAN COMPAtdY <br /> SIGNATURE REGISTERED Y/ lV FEE CURRE� Y I N <br /> Address License# � <br /> PLUh'i�Ei2 COMPANY <br /> SIGfdATUFtE REGISTERED Y I N FEE CURRE� Y I N <br /> �ddress �-�n�� � <br /> MECHANICAL , CaMPANY <br /> SIGNATURE REGISTERED Y I M FEE CURRE� Y/N <br /> Address License# <br /> OTHER COiViPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE� Y 1(V <br /> Address License# <br /> Illlllllllllllllllliislllllllllllllllllllllllollllllllllllllllllill <br /> RESIDENI'IAL Attach(2)Plot Plans;(Z)sets of Building Ptans;(1)set of Energy Forms;R-O-W Pertnit far new construction, __ <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 W�rk Permit for subdivistons/large projects <br /> COMiVIEf2CIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Perm(t for ali new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT �,ttach(�)setsbffngineered Plans. <br /> •""PROPERTY SURVEY required for all NEW construction. <br /> . . . . �� _.__. <br /> Directions: <br /> Fill out appHcation completely. <br /> Owner&Contractor sign back of application, notarized <br /> If over$2500,a Notice of Commencement Is required, (A/C upgrades over$7500) <br /> *" Agent{for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> pVER THE COUAfTER PERMITTING (copy of contract requfred) <br /> Reroofs if shingies gewers sen�ice Upgrades AfC ��noEs(PIdUSu�l�ylFnota�e) <br /> Drivew�yrNot over Counter iS on pubtio toed�r+eye..ncecla 4iOWi <br />