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813-780-0020 City of Zephyfiills Permit Application Fax-813-780-0021 <br /> Building Departrnent <br /> ' • '—' � - � <br /> Date Recelved - � j �?�/Z phone Contact for Permittin - <br /> . <br /> Owner's Name Owner Phone Number <br /> Owner's Address � 2 � Owner Phone Number �— <br /> Fee Simple Titleholder Name ��O�wner Phone Number � <br /> � <br /> Fee Simple Titleholder Addreaa <br /> JOB ADDRESS V� LOT# C� <br /> SUBDiVISION PARCEL ID# � <br /> (OBTAINED FROM PROPER AX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN �] DEMOLISH <br /> INSTALL E�AIR— <br /> PROPOSED USE Q SFR �COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �� � ��'f f'�j� � ��i-K-e,� G�d,� � ^ 'C` <br /> BUILDING SIZE �� 3Q FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPIUMBING $ ��� ��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �I (,��UC„' <br /> l!� <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � � � COMPANY <br /> SIGNATURE REGISTERED Y J 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 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 Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Fadlides&1 dumpster;Site Work PeRnit 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 wnstrucUon. <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 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 8 Contractor sign back of applicaGon,notarized <br /> If over E2500,a Notice of Commencement is requlred. (A/C upgrades over s7500) <br />`" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with 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(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />