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813-78Q-UUZU City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting _ <br /> ��' e �- <br /> Owner's Name 1' � Owner Phone Number <br /> N� <br /> Owner's Address � ,� � L /36 �- Owner Phone Number <br /> Fee 5imple Titleholder Name Owner Phone Number <br /> Fee Simple Titiehoider Address <br /> JOB ADDRESS 3 9 �� � vr`" .2 C�� /c''/� /LC � j l_ LOT # � <br /> SUBDIVISION �, PARCEL ID# .� z� � 6�/� 66ktG 0 � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADDlALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK Z�C� 2� ' /(�06t S�; <br /> BUILDING SI2E C SQ FOOTAGE C] HEIGHT <br /> �BUILDING $�,y� c— VALUATION OF TOTAL CONSTRUCTION <br /> av <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENER — W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ll��� <br /> 1 <br /> OGAS Q� ROOFING Q SPECIALTY � OTHER _ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUI�DER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address C ' License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Add�ess License # <br /> OTHER � COMPANY �/l � �'n' CGf /- Ji' � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address �1 � � � License # E6 ��y� <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 8 1 dumpster; Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach (3) 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, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet complfance <br /> SIGN PERMIT Attach (2) sets of Engineerad Plans. <br /> ""PROPERTY SURVEY required for all NEW construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contraclor sign back of application, notarized <br /> If over j2500, a Notice of Commencement is required. (A/C upgrades over;7500) <br /> "* Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />