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813-780-0020 City Of ZephyrhiiiS Permit Application Fax-813-780-0021' <br /> Building Department <br /> Date Received —117— 20 Phone Contact-for:Permitting — <br /> Ownees�Name Owner Phone Number:. . <br /> Owner's Address )-E 3L7 ��i �(�� L a OwnerPhone Nurrrber. . <br /> Fee Simple Titleholder Name 41� Owner Phone Number <br /> Fee Simple Titleholder Address <br /> J.OB ADDRESS, E3,gal /11 P,4 O Oct L e &0 914, J I.S r L LOT# �- <br /> SUBDIVISION wl+9g,LYd U1,99�. dT .: PARCEL,ID# <br /> (OBTAINED.:FROM;PROP_ERTY TAX NOTICE); , <br /> WORK PROPOSED -�NEW;CONSTR- ADD/ALT �� SIGN OS DEMOLISH <br /> R <br /> .- INSTALL 8 REPAIR,. Y.Q <br /> PROPOSED USE: SFR 0 COMM <br /> 0 'OTHER; <br /> TYPE OF CONSTRUCTION' 0 BLOCK' Q FRAME' Q) STEEL' Q' V. <br /> DESCRIPTION,OF WORK,-- �i ©®4 i S"'o /� J� h G <br /> BUILDING:SIZE -�-�(y SCI FOOTAGE �- HEIGHT, <br /> ' E <br /> "BUILDING-. D .. <br /> ' VALUATION OF TOTAL CONSTRUCTION� ' <br /> 7� <br /> =ELECTRICAL r$' AMP SERVICE, Q PROGRESS•.ENERGY Q;: .W.R.E.C., <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF.MECNANICAC INSTALLATION _ "` <br /> r� r <br /> =GAS ROOFI G [ : . . SPECIALTY,= OTHER. " OS <br /> FINISHED FLOOR ELEVATIONS FLOODZONE AREA- =YES NO <br /> BUILDER COMPANY " ' � <br /> SIGNATURE �5 ryrll REGISTERED Y/'N '- FEE.CURREn <br /> Address' ` , License#." , <br /> ELECTRICIAN' COMPANY �_ •,.. <br /> SIGNATURE REGISTERED'' ;.:,Y/ N FEE puRRER ,.' .Y/N. <br /> Address .:License#,F <br /> PLUMBER COMPANY <br /> SIGNATURE . . REGISTERED I Y/_,N :Y./.FEE cuRREn: :: N <br /> Address License#" <br /> MECHANICAL' .COMt?ANY <br /> SIGNATURE -'. REGISTERED YIN FEE CURREI, :Y/N``' " <br /> Address . License#` � _ <br /> OTHER. COM.PANY`, ' <br /> SIGNATURE IiEGisTEiiEo' ' ' Y/'N`"' "FEE CURREn =Y'•/iN" <br /> Address; License <br /> RESIDENTIAL Att06h(2)P lot Plans;=(2)`sets:of Building Plans;(i)'set 0*4ro Eorrns R=0=1N`Perriiif,fo�:.new;constru_ction; <br /> Minimum-ten(10)working days after submittal date.-Required onsite,Construction Plans,Stormwafer Plans..w/.Silt Feriae:insfaI 'd; <br /> Sanitary Facilities.&1 dumpster,Site Work Permit:fo sutidivi§IgrIS iar a projects <br /> COMMERCIAL Attach"(2)complete:sets af;Building .Ianssplus a LifelSafety Page;(1.)set of Energy F.orms..R-O,W P..ermit for new construction.>: <br /> Minimum ten(10)working:days after submittal date:`Required'onsite,.Constructian Pfans;:Stormrniater,Plans;w/Sflt F..ence<installed, <br /> -Sanitary Facilities&'.9'dumpster.Site Wb Permit'for all-new projects.-All commercial regoUirements-rust mee#compliance•" ... <br /> SIGN PERMIT Attach(2)4ets of Englneered Plans. <br /> "PROPERTY SURVEY:required for all NEW,construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign.back of application;notarized If over$2500,a Notice of Commencement is required. .(AIC upgrades over$7500) <br /> '* Agent(for the contractor)or Power of Attorney(far the"owner)would,besomeonewith notarized letter from owner.authorizing same <br /> OVER THE COUNTER PERMITTING (oopy,of contract required)- <br /> Reroofs if shingles Sealers Service Upgrades A/C Fence's(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />