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813-780-0020 City of Zephyrhiils Permit Applicatior?I Fax 813-780-0021 <br /> Building Department <br /> Date Received 1 ,^� _ <br /> Phone Contact for Permitting ��3 � �07 EQ <br /> Owner's Name (l.Sr l�S Owner Phone,'Dumber <br /> Owner's Address /5. 37 �ae LO) S )5�U c,. Owner Phone Number 79 to -5 <br /> v - <br /> Fee Simple Titleholder Name l- 3:3R Owner Phone Number <br /> Fee Simple Titleholder Address (��j 3 PLC,- 6 S f,6/t" Sk-_ )35 Y <br /> JOB ADDRESS C' 17r ZePhVRA115 FL— -33,5 a LOT# <br /> SUBDIVISION Qih:vo f k' h` -:s PARCEL ID# o?� �1 �,j0 J 00,360— I2/0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR� ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME ® STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING Is _�� VALUATION OF TOTAL CONSTRUCTION � 0" f aoaa <br /> =ELECTRICAL $ /1O AMP SERVICE Q PROGRESS ENERGY W.R.EII.C.Q ! <br /> =PLUMBING $ ?__!/` Jq <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 20 <br /> iwrt� <br /> =GAS = ROOFING 0 SPECIALTY = OTHER y <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NOU°d <br /> fJ <br /> ,'. BUILDER � � COMPANY <br /> 4 QlaSj�y S <br /> SIGNATURE _>� REGISTERED Y N J FEE CURREN Y/N <br /> Addressr��_R(05_3 Arlee,6 S 6e License# leI <br /> ELECTRICIAN COMPANY UC SIGNATURE REGISTERED REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL ��✓ COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Lyl N <br /> Address 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 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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> l <br />