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ais-�ao-oo2o City of Zephyrhdls Permit Application Fax-813-780-0021 <br /> Budding Department <br /> Date Received '� p7� �— l� Phone Contactfor Perm �in � �r -7S va <br /> �r r r�Tr r - - � <br /> Owners Name Owner Phone Number �ti 3.?.� � � t�� <br /> Owners Address `G �� - A � �- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �'JG� = ��Z ��� � 7� �:t� a LOT # �+�Z �� <br /> SUBDIVISION �17v\� PARCELID# 11 fl!"i iZ� V�i�� � -• dZ <br /> �OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR � ADO/ALT 0 SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL 0 <br /> DESCRIPTION OF WORK NL.I�� d l�l�M S� � C1G\ tJS��� <br /> ^-► � <br /> BUILDING SIZE �� SQ FOOTAGE � 1 HEIGHT � <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION ��3 �'� ���_ . <br /> I � Ov� <br /> QELECTRICAL $ AMP SERVICE � PROG SS�� W.R E.C. �J /l � E ����,�� <br /> \�� t/YIG'<' .°ts�u�-�,u�-��- 'i � ' <br /> QPLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � /Z/go <br /> �GAS Q ROOFING Q SPECIALTY � OTHER I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO �,/ <br /> r� <br /> � <br /> BUILDER f COMPANY (70 SCaI\ '� ^, pr � <br /> SIGNATURE •�/r� REGIS7ERED Y N FEE CURREM1 Y/ N <br /> Address �+ yp �$r{ �i1�+1 License# C.A�.(�j�d�..Cpl� � <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Add ress License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREf. Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGIS7ERED Y! N FEE CURRE� Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> 1 111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (t) set of Energy Forms; R-O-W Permit for new construction, <br /> Mimmum ten (10) working days after submittal date. Reqwred onsde, ConstrucLon Plans, Stormwater Plans w/ Silt Fence mstalled, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdiwsions/large projects <br /> COMMERCIAL Attach (3) complete se[s of Bwld�ng Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construct�on <br /> Minimum ten (10) working days after submittaf date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary FaGtities & 1 dumpster Site Work Permit for all new pro�ects. 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 & Contracror sign back of application, notanzetl <br /> If over 52500, a Notice of Commencemen[ is required. (A/C upgrades over 57500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authonzing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIOUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />