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u��-�au-uuzu City of Zep�yrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved �� ., .' <br /> Phone Contact for Pe ttin � � ? S �S�_ �j Z. �1'� <br /> Owner's Name �` _ � / � ___ ____�____- ---' <br /> �.f/�-' iC'_— avvrTer�P��Farrrtier-- _- - - - <br /> Owner's Address .J r� ��� �y� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number —� <br /> Fee Simpie Titleholder Addres � <br /> JOB ADDRESS � �I�►Y'(.�e-� �� l.-��'9"�� LOT# C� <br /> SUBDIVISION , PARCEL ID# G7�Z'� --��'Ci U/G�-�� U(�—v��� <br /> (OBTAINED FR�OM pROPERTY T�TicEl DEMOLISH <br /> WORK PROPOSED B NEW CONSTR ADD/ALT � SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION �] BLOCK [] FRAME [� STEEL [� <br /> DESCRIPTION OF WORK V ti �lJ�� �,��f L ! ��--L-� �'�,t,,�(� <br /> BUILDING SIZE � SQ FOOTAGE �C�L�� HEIGHT <br /> ILDING � ,�, /�� ,.b � <br /> f Z1��jD --- V ATION OF TOTAL CONSTRUCTI � S <br /> DELECTRICAL $ AMP SERVICE 1—1 <br /> �-1 W.R.E.C. <br /> QPLUMBING $ , L � Z/�r/ <br /> -t�- 7 <br /> {-� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS [� ROOFING Q SPECIALTY �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOO _� A �YES NO <br /> . <br /> BUILDER . � . ���'L.�S L�.�/!� H1�t,()F'�"►�l�--�v7 l, �,. <br /> SIGNATURE ED Y/ N FEE CURRE� Y/N , <br /> Address 'L`C�`L�� (,1��-'�' ��� �C>:� �'�"� � 7�?�' <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# �— —� <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 CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Ene�gy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woiicing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit fo�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 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Englneered Plans. <br /> "*'PROPERTY SURVEY required for all NEW construction. <br /> ,����r��r����*��������� <br /> Directions. <br /> � ItiiL� �r <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <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 wlth 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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />