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813-780-0020 City of Zephyrhllls Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 3(16[19 Phone Contact for Permitting FTi--g <br /> Owners Name Owner Ph'.o o Number 3- <br /> Ownees Addressl 279 15-9 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 579 elkt_e LOT# <br /> SUBDIVISION PARCEL to# 03 (,9- 74 Y10 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT = SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM OTHER I <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK 66,-e- p1j, 16aeJ ver+- 4&L pm 31-v� <br /> LJ <br /> BUILDING SIZE F SQ FOOTAGE. HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ <br /> [2`MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD'ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREJ, <br /> Address Ucense# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN L.)L/ <br /> Address License#F �N <br /> PLUMBER COMPANY = <br /> SIGNATURE I REGISTERED I Y/ N I FEE CURREN L_y LN J <br /> Address License# F— <br /> MECHANICAL <br /> COMPANY <br /> SIGNATURE REGISTERED I Y/ N rEECURR&/ I Y/N <br /> Address License <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN <br /> Address F— License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)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 Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsilarge projects <br /> COMMERCIAL 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. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.Al commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans, <br /> PROPERTY SURVEY required for all NEW construction. <br /> Direction.. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement Is required. (A/C upgrades over$7600) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> I <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter ff on public madways..needs ROW L, <br />