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313-7t30-UU20 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ��( - � _ �--� � `- - <br /> � Phone Contact for Permittin - <br /> Owner's Name („✓.!4/L� Q t�C�- Owner Phone � ? - '� / ^ (! �� <br /> � <br /> Owner's Address �Iv� R�c Q Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS fo � C /4' �V LOT # �3 <br /> SUBDIVISION Sl���@ �i2 Ll�bt� �c� � PARCEL $ � � � �� � � � - Oo�le D 'QOdjO ' D� '�(� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN � Q DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ��'~� �G�/ ','� � � ` � ��� �`'?'� � �lZ�"�''/�f <br /> BUILDING SI2E �? 1'� � � / SQ FOOTAGE � � HEIGHT �, �/ <br /> �BUILDING $ �� �, ot' VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE GY W.R.E.C. <br /> �PLUMBING $ � 'I — Wi/ fl�,t{�l.�� '�� +�r.L �.� MC�' , <br /> � «_ --.-�.� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �� G�j � <br /> l.r � 1 <br /> GAS v � ' <br /> Q Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> S G 1/ .���, U RE RED Y N� � E CURRE� M1 Y/ N <br /> Address ' 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 /> Address License # <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Buiiding 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 subdivisions/large 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, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpste�. Site Work Permit for all new projects. Atl commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Pians. <br /> '*'"PROPERTY SURVEY required for all NEW construction. , <br /> Directions: <br /> Fill out application completely. <br /> Owner 8� Contractor sign back of application, notarized <br /> If over E2500, a Notice of Commencement is required. (A/C upgrades over E7500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from ovmer authorizing 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 /> � /� GC.� �/�— �S �//Yi ,� �h�e �S ,'o�P�� <br /> �����-. <br /> �S p� C , � c �' � -�,�� � � �,� r � �u �d, �-�° ��) a/ e s �/� �/,� <br />