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813-780-M20 City of Zephyiflills Pdrmit Application Fax-813-780-0021 <br /> Building Department <br /> Dati ReceivedPhone Contact for Permitting -1(9/15 7 C?.R 7Y <br /> ownees Nam Owner Phone Number <br /> Owner's Address 17741 -m—r'gh�, owner Phone Number <br /> Fee Simple Titleholder Name r Own"Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS E-77 t-dW;" -ville, dP,- LOT# <br /> Zj fflie <br /> -? -91 IN:;y Avlalo PP94 <br /> PARCEI.10#136 . 6 <br /> (09TARM FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONST11 ff�j�ALT SIGN DEMOLISH <br /> R INSTALL R <br /> PROPOSED USE SFR = COMM OTHER I <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DMCFUFr,CN OF WORK ,� 2E <br /> BUILDING SIZE SQFOOTAGE= HEIGHT <br /> EBUI LDING. . . . . . VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL is AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING Is <br /> [MMECHANICAL IS G^3 VALUATION OF MECHANICAL INSTALLATION <br /> ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN LILN J <br /> Address I Elena#F— <br /> ELECTRICIAN COMPANY I I <br /> SIGNATURE 111 REGISTERED I YIN I FEE CURREN LffLN J <br /> Address I License#F— <br /> PLUMBER COMPANY = I <br /> SIGNATURE REGISTERED I YIN FEE CURREN <br /> Address License <br /> MECHANICAL COMPANY <br /> REGISTERED SIGNATURE E CIIJV!� Yl I <br /> Address License#1-016" <br /> OTHER COMPANY F <br /> SIGNATURE REGISTERED I YIN FEE CURREPI I Y/N I <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for now oonsbuction, <br /> Minimum ton(10)worldng days after submittal date. Required onsite.Construction Plans,Stormwater Plans wl Sift Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sGts,cf Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minbrum ten(10)wadding days after submittal date- Required onsite,Construction Plans,Stommeter Plans wl Silt Fence installed, <br /> Sanitary Facilities&I dunqster.Site Work Pennd for all now projects All 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 S2SDO,a-NGM*Of Con mmcenXNdfs required. (AfC upgrades over$7500) <br /> Agent(for the—!tVad-)Of Power 9!A"y(for the owner)wound be sorriiorw with notarized lefterfroiri awnerautfiorking same <br /> OVER THE COUNTERPERMITTIING (ropy,ofcontract requited) <br /> Retools if shingles', Sayers ServicoUpgrad-AIC - F—OWSurvey]Footage) <br /> Driveways-Not over Counter if on public midways-needs ROW <br />