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ais-�ao-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received -- �� Phone Contad for Permitting — <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> ti { � � � �a�-- �-0 �� <br /> Owner s Name Owner Phone Number <br /> Owner s Address � Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS �V ZJtJX * � � I' � �� LOT # C� <br /> SUBDIVISION PARCEL ID# oL- a� I� V�I � d —� <br /> (OBTAINED FROM PROPERTY TAX NOTCE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLI;iH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER � <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q �-� <br /> DESCRIPTION OF WORK l'3��� � .J T�7 �S N Y �`�+�+E� �� � 1��'v�v O�� <br /> BUILDING SIZE S� FOOTAGE � HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS E Y Q W R.E C. <br /> OPLUMBING $ �f 1� �� 7 / <br /> l �� � <br /> �MECHANICAL $ - � VALUATION OF MECHANICAL INSTALLA / <br /> �GAS � ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY � <br /> SIGNATURE REGISTERED Y/ N Fee euRaen Y/ N <br /> Address License # � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE RECisrEaeo Y! N FEe eurxREn Y/ N <br /> Address License # � <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> MECHANICAL qN7Y IR FOI�C�� AC �' Nl++ �( � <br /> SIGNATURE RECi57EReo Y/ N FEE cuRrxEn Y! N <br /> Address p� M Ut ��hL Ucense# <br /> OTHER COMPANY <br /> SIGNATURE aecisreReo Y! N FEE CURRE� Y I N <br /> Address License # � <br /> 1 1 1 1 1 I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 <br /> RESIDENTIAL Attach (2) Plo[ Plans; (2) sels of Building Plans; (1) set of Energy Forms; R-O-W Permit for new conslruction, <br /> Minimum ten (10) working days after submi[tal date. Required onsde, Construction Plans, S[ortnwater Plans w/ Silt Fence installed, <br /> Sandary Facilities & 1 dumpster, Sle Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safely Page, (1) set of Energy Forms. R-O-W Permit for new cons,truction. <br /> Minimum ten (10) working days after submittal date. Reqwred onsite, Construction Plans, Stormwater Plans w! Silt Fence inslalled, <br /> Sandary Faalities & 1 dumpster Sde Work Permit for all new projects. All commercial reqwrements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> "'"'PROPERTY SURVEY required for all NEW construction. <br /> 1 i 1 1 1 1 1 1 1 1 1 L i 1 1 1 1 1 1 1 1 1 I..I.il 1 1 1 1 1 1 <br /> Directions: • <br /> Fill out applicalion completely <br /> Owner & Con[ractor sign back of apphcalion, notanzed <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone wilh notarized letter from owner authonzing same <br /> OVER THE COUNTER PERMIT'fING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PlotlSurveylFootage) <br /> Driveways-Not over Counter if on public roadways. needs ROW <br />