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e13-780-0020 City of Zephyrtlills Permit Application Fa*r813-7e0-oo21 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> li99111i ) { ftli! t / �} p� <br /> Owner's Name ' I'r /<GL/ (� Owner Phone Number �t 5 &7! �O 3-' <br /> Ownee"s Address 4 2'I '5+j vz r eC1.a1.(�k 6�� Owner Phone Number <br /> Fee Simple Titleholder Name `'r� Owner Phone Number <br /> Fee Simple Titleholder Addresls� �—f z� ,1'vc,­ C rKJ�l <br /> JOB ADDRESS 7 2 S►1 j«a- r� � `V j �LO,T�a�/��� <br /> SUBDMSION I tl C-'C PARCEL iD# I — ZP—f Tv—C01w&00-T0 <br /> (OHTAINEa FT -PROPERTY'TAXND'r10E) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = OTHER I CUA w <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME Q/ ` STEEL Q I �7 <br /> DESCRIPTION OF WORK 3�r lc 2� �n QJ(a J w l 5 >c (Jl l 94 D f <br /> BUILDING SIZE SO FOOTAGE ©� HEIGHT <br /> -rcrr11 rz-rrez cc rca <br /> =BUILDING $ / V VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ < AMP SERVICE = PROGRESS ENERGY = W.FLE.C. <br /> =PLUMBING is 0_�' <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /y <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y!N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN LXLN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEECURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEECURREN I Y/N <br /> Address License# <br /> I!lg goings liliiiflillllltiiifil■1liifIlll■!ltfiiiiil.if/t'lfflilillf.ft <br /> RESIDENTIAL Attach(2)Plot Plans,(2)sets of Building Plans;(1)set of Energy Forms;R-OM Permit for new construction, <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stornwater 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 Fortes.R-O-W Persil 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.Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> DlredbrTs- <br /> Fill out appfmation completely. <br /> Owner✓s<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 AttDmey(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 />