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' 813-780-0020 City of Zephyrtiills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � 3 `� Phane Contact far Pertniltln � - �-1.� <br /> Owners Name � C Owner Phone Number <br /> Owner's Address � c.�) Owner Phone Number <br /> Fee Simple Titlehalder Name Owner Phone Number <br /> Fee Slmpie Titleholder Address <br /> JOB ADDRESS ��J�"I C�Ve YEQ.�V��l ' V(1 LOT# � <br /> SUBDNISION Gt I` PARCELID# <br /> (OBTAINED FROM PRDPERTY TAX NOTICE) <br /> YYDRKPROPUSED e NEW.CONSTR� ADD/ALS Q SIGN Q Q DEMOLISM <br /> INSTALL REPaIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> TYPE.OFCON5TRUCTION � BLOCK O FRAME � STEEL Q, <br /> DESCRIP110N OF WORK lL.t <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QECECTRfCAL S AMP SERVECE 0 PROGRESS ENERGY Q W:R,E:C. <br /> QPLUMBiNG 5 / � <br /> f�� / <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION L�� l� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUICDER COMPANY <br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Lfcense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE cuaREn Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# <br /> UTflER � COMPANY <br /> SIGNATURE Recis�Reo Y/ N FEe cur�en Y/N <br /> Address License# <br /> � � � � � � � � � � e � � � � � � � ie � � � � o � � � � oe.� � i � � � � � � � � � � i � t � � � � itoi � � � � � o � � e � � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets ot Building Plans;(1)set oF Energy Fortns;R-O-W Permit for new consW ction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construdion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliGes&1 dumpster,Site Work Permft for subdivisionsflarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Pertnit for new consWc6on. <br /> Mlnimum ten(10)working days after submittal date. Required onsite,Construclion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.AII commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Pla�s. <br /> "•'PROPERN SURVEY required for all NEW construetion. <br /> DirectionsJ -- - - - - -- - - - ---- - -- --- - - --- - -- - - <br /> Fill out appiication completely <br /> Owner$'ConVactor sign back of appTication,notarized <br /> If over 5250D,a Notice af Commencement is required. (A/C upgrades over 57500) <br /> •• Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letler from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy ot contrect 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 />