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e13-780-0020 City of ZephyrhiflS Permit Application <br /> Fax 813-780-0021 <br /> Building Department Date Received - . .C( l� Phone Contact for-Perm'Ittin - Fi i{ cn — 5-- <br /> Owner's Name a CQ '� Owner Phone Number <br /> � 1 <br /> Owner's Address ( Owner Phone Number (� <br /> Fee Simple Titleholder Name' 'Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 L,Y l.f 1. LOT# <br /> SUBDIVISION i 11�,i t f l 1 V lam _ PARCEL ID# o c) (�0000_ vS_JD <br /> (OBTAINED FROM PROPEM Y TAX NOTICE) <br /> WORK PROPOSED NEWCONSTR ADDIALT" ��" SIGN 0 Q DEMOLISH <br /> - INSTALL REPAIR <br /> REPAIR <br /> PROPOSED,USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION �� BLO+CK tt ' Q" y 1 FRAME r� !� STEEL Q , <br /> DESCRIPTION OF WORK- <br /> BUILDING SIZE SQ FoO*AGg=. —HEIGHT. <br /> =BUILDING __. VALUATION`tJF'TOTAL CONStifUCT1ON <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING $� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING :Q SPECIALTY OTHER, <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> - I <br /> BUILDER COMPANY- <br /> SIGNATURE REGISTERED Y/ N FEE CURREn Y/N` <br /> Address . License# F <br /> ELECTRICIAN_. COMPANY' <br /> SIGNATURE s REGISTERED Y/ N FEE CURREN' <br /> Address License# f t <br /> PLUMBER. . : l COMPANY !f wh <br /> o i <br /> SIGNATURE REGISTERED Y./:.N-- FEE CURRM= I Y-/W " <br /> Address e r r ?,cA, I . License-# I U5115- Oq 4 13 <br /> MECHANICAL COMPANY <br /> SIGNATURE REP!sTEREU.: .Y/ N . F_E cuRREP: Y/"N <br /> Address::'. License it.F 1 <br /> OTHER <br /> ,:COMPANIY ; <br /> SIGNATURE REGISTERED = " Y/ N_ FEE cuRREn Y/N <br /> Address License# <br /> RESIDENTIAL;": Attach-(2).PIof;P,lans;(2)sets'of Building Plans;(1)set of Energy Forms:R-0=W Permit for new conshuction,- <br /> Mlnimum.ten;(t0):working days:after„submdat® R Ps: ,Cioan St6 mwater Plans w/Siff Fence installed, <br /> . Sanitary FaclNties_li<:1:dumpster•,.Site WorkPermitforsubdivislohsiiaige:pro .;:-:_;. <br /> COMMERCIAL Attach(3)-Go mpiete-sets of Bulldiog Plans plus a Life Safety Page;'(1)set of Energjects:::_y Forms.R Q W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit_for all new projects:Ali commercial requirements.must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered,Plans:. - <br /> "PROPERTY SURVEY required for all NEW.construction.. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500.a Notice of Commencement,Is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)`or Power of Attomey(for the owner)would be someone witti notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If-on public roadways-needs ROW <br />