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813-780-0020 City of Zephyfiills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � r r�- G` <br /> �N �� , d � Z Phone Contact for Permittin /� ��p _ ,�p /� <br /> (� � > <br /> Owner's Name ` �J�,S (��'� S�fLj lJ'� Owner Phone Number �- �� / ��� <br /> Owner's Address Owner Phone Number 0�3`-���`��l G <br /> Fee Simple Titleholder Name Owner Phone Number ��c�� 3���s� y <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � S(r� �"'/� d OO dl/' 7 � <br /> LOT# <br /> SUBDIVISION � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw coNSra 8 ADD/ALT � SIGN Q � DEMOIISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q L CK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK _ �'- ��� �/ ,.� C`� �. <br /> BUILDING SIZE �— SQ FOOTAGE /U G/ HEIGHT <br /> QBUILDING $ j� r''���� VALUATION OF TOTAL CONSTRUCTION <br /> C�C.i <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPIUMBING �� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> 51GNATURE i �. ' �L'^ REGISTERED Y/ N FEE CURRE� 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 <br /> 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 Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles 8�1 dumpster;Site Work Pennit for subdivisionsflarge 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 construcdon. <br /> Minimum ten(10)working days after submittal date. Requ)red onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilitles&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '""`PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicaUon,notarized <br /> If over i2500,a Notice of Cotnlnencement is requlred. (A/C upgrades over 57500) <br />" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMIT'TING (Front of Application Only) <br />�eroofs if shfngles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />