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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Da4e Received Phone Contact for Permitting 3 -- S <br /> � <br /> Owner's Name ..Q Owner Phon�Number <br /> Owner's Address ° � �' � Owner Phone Rlurr►ber � <br /> Fes Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titlefiolder Address <br /> JOB ADDRESS � ✓t i -I—_ LO�� � <br /> SUBDIVISION '�(��'L�� , ' PARCEL ID# D <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOL{SH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK �] FRAME Q STEEL Q <br /> . � <br /> DESCR1PT10N OF WORK 1 ' <br /> BUILDING SIZE SQ POOTAGE I�S(O HEIGHT <br /> PR' T T9��'P' r�f'���tT'lYTTY���°r7"1�°T <br /> �BUILDING $ ���`� VALUATION OF TOTAL CONSTRUCTION <br /> QELEGTRiGAL � � AMP SERVICE Q PROGR€SS€N€RGY Q W.R.E.C. <br /> QPLUMBIfdG $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL IPISTALLATION <br /> QGAS �i ROOFING Q SPECIALTY Q OTHER <br /> F1tV1SHED FL�OR ELEVATIDNS FLDOD ZaNE AREA �YES N� <br /> ■ I_� ■-IL_�-l-LL� �-� ■ l � � ■ ■ ■- ■--■ ■ ■ W-LLL� • ■ ■ • <br /> T7 - ���T�lTTr� r�r7 Tr <br /> BUILDER , COMP 4NY �� � b � O. L� <br /> SIGNATURE REGISTERED Y N FEE CUftRE� N <br /> Addr�ss l.icense# <br /> ELECTRICIA{d COMPAPIY <br /> SIGfdATURE REGISTERED Y/ I� FEE CURRE� Y I Pl <br /> Address License# �— <br /> PLUMBER COMPANY <br /> SIGNATURE R�GISTERED Y/ N FEE CURRE� Y/N <br /> Address Ltcense# � <br /> MEGHANICAL C�MPANY <br /> SIGNATURE REGISTERED Y/ N FEH CURREA Y I N <br /> Addre�s License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIi111111111110111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(Z)sets of Buitding Plans;(9)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date, Required onsite,Construction Plans,Stormwater Pians w/Silt Fence instailed, <br /> �- ---Sanftary Facilities&1-dumpster,Site Work Permit for subdivision's/large projects - �— -- - - � - --�-- <br /> COtViilfi�RCIAL Attach(2)complete sets of Building Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consiruction. <br /> Minimum ten(10)workfng days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Siit Fence instalied, <br /> Sanitary Facifities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGiV PERMI� Attach{2j sets offngfneersd Pians. <br /> *'"*"PROPERTY SURVEY required for all NEW construction. <br /> • - - <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notfce of Commencement ts required. (A/C upgrades over$7500) <br /> "" Agent(for the contractor)or Power of Attorney(for the own�r)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers �eniioe Upgrades �C ��ncss(PIoUSurv�ylFo�ta�e) <br /> Drivowaqa-No�ovet CouMer i4 on pvblic*occ�*�ery=..++eedr�4i0�1 <br />