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813-780-0020 City of ZephyrFiills Permit Application 9m.813-780-0021 <br /> Building Department Date Received Phone Contact for Permitting <br /> a€aa€a€a aaa€€ <br /> Owner's Name %, 0'0AM:QA!6e <br /> p�+ P'j/� Owner Phone Number <br /> Owners Address 4O 0 ) 0 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 1, <br /> JOB ADDRESS 69 V 6 5 ch �3 h^�I L� ,�Uf LOT# <br /> SUBDIVISION 1 Q� PARCEL ID# �L7 " DLO rTl — 00°' IbIS)OU r' CA <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR B ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK f en poly, X I <br /> LOT <br /> __y 6 r0 Pn <br /> BUILDING SIZE I x SQ FOOTAGE I lS7 v HEIGHT <br /> =BUILDING $ 9�•e O VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ 1,-k—/3�� p �� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION rw <br /> =GAS = ROOFING 0 SPECIALTY = OTHER � jf <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES' NO ;� ////�� A4_ <br /> BUILDER COMPANY <br /> SIGNATURE ik� REGISTERED I Y/N FEE CURREN I Y/N <br /> Address 33&, License# �CC— a D. <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED I Y/N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y!N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE o A REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER ' `r COMPANY <br /> REGISTERED Y!N FEE CURREN Y/N <br /> SIGNATURE p v <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 subdivisionsAarge 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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />