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e13•780-0020 City of Zephyfiills Permit Application Fax-813-7MOO21 <br /> y Building Department <br /> �;17n <br /> Date Received - Phone contact for Permittingg <br /> l l <br /> Owner's Name � r� <br /> )Z /n+ 1 ty Owner Phone Number <br /> Owners Address <br /> pi3 (� &12d2 Owner Phone Number -� <br /> t 1 <br /> Fee Simple Titleholder Name i ii 1 �n Owner Phone Number <br /> Number <br /> Fee Simple Titleholder Address 2i� �` j. <br /> JOB ADDRESS • k 11 `-- -• �,e-�L LOT#,��} <br /> SUBDIVISION PARCEL L ID# i(- 6-,Lk- �Jl� —�EDLL��L•.�L. <br /> (OBTAINEO FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR. ADDlALT = SIGN = DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE _ = SFR Q COMM �J OTHER <br /> TYPE OF CONSTRUCTION I v1 BLOCK [2 FRAME CS21 STEEL <br /> DESCRIPTION OF WORK++JJ ' 6 �4 L�rL�� � >�i 1 <br /> BUILDING SIZE -TL7 SO FOOTAGE J l HEIGHT , t <br /> TTT7 t"1 T TT7TITf•T7 TTT7TT T. . . <br /> =BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL S AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> <<� <br /> =PLUMBING S <br /> =MECHANICAL b VALUATION OF MECHANICAL INSTALLATION I (lv <br /> =GAS = ROOFING Q SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO ' <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREn Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CuRRrh Lyl N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREI, LUNIJ <br /> Address License# <br /> i <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE cuRREA Y/N <br /> Address I License# <br /> OTHER s^ COMPANY � Av, Tire (1il�W lid <br /> SIGNATURE REGISTERED JUJ N I FEE CURREnr�r Y,/�N�,r�L-�-� <br /> Address 5{y�(jl�Y �c1�' 'Tj License# ry-LI��.�L�-ICJ l <br /> 11111.11111111111 / 1111111'11111 IltllllllllllllllllllllllllllllLIIIII <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans:(1)set of Energy Forms;R-0-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 subdivisions/large 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)wonting days after submittal dale. Required onsile.Construction Plans.Stormwater Plans w/Sift Fence Installed, <br /> Sanitary Facilities 81 dumpster.Site Work Permit for all new 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$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> '• Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways.needs ROW <br />