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813-780-0020 City of Zephyffflls Permit Application Fax-813-78M21 A <br /> Building Department <br /> Date Received Phone Contact for permitting <br /> owner's Owner Ph..Number <br /> owners Addra=F�v/z Owner Phone Number F <br /> Fee Simple Titleholder Name Owner Phone Number OZ6 <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F LOT# <br /> SUBDIVISION F-- PARCEL 109 <br /> (OBTAINED MOM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> P INSTALL REPAIR <br /> PROPOSED USE = SFR COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK F <br /> yj4--X.y—.4 Rai Vf-4-I jfftsV hlew/0 <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> UILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ 7 AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING 1$ 7 <br /> g!TV-ECHANICAL $ -7 VALUATION OF MECHANICAL INSTALLATION <br /> =C-,.ks = ROOFING SPECIALTY = OTHER <br /> FINISHED rLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . <br /> BUILDER COMPANY <br /> SIGNATURI- REGISTERED I Y/ N FEECURRE11 <br /> Address I License# <br /> "LECTRICON COMPANY = <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/N <br /> Address .I License# <br /> PLUMBER COMPANY E: <br /> SIGNATURE REGISTERED I Y/ N FEE CURRa LjjNj <br /> Address Ucense# <br /> MECHANICAL COMPANY *dA*YA s Aoiei pwl& <br /> SIGNATUP_ REGISTERED I Y/ N FEE CURREN LILN J <br /> Address -�'Vw W11—&j xW ZEW/W License#Fc—.4!—�o Y-i- <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURREI, Lj_LNJ <br /> Address License#F- <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&I dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)COMP19te Sets of Building Plans PIUS a Lire 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/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster.Site We*Permit for all new prijects.All commercial requirements must meet compliance <br /> SIGN PEMIrr Attach(2)sets of Engineered Plans, <br /> PROPERTY SURVEY required for all NEW construction. <br /> it' . . . . . . . . . . . . . . . . . . . <br /> Direivtt'..- <br /> Fill ou:application compfetely, <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required, (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Anomey(for the Owner)would be someone with notarized letter from Owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remoll's if s.jingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter it On Public roadways-needs ROW <br />