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813-780-0020 City of Zephyfiills Permit Application Fax-813-760-0021 <br /> Building Department <br /> Date Rece�ved - � -- Phone Contact for Permittin _ <br /> Owner's Name �. . � c - Owner Phone Number p i l�I <br /> Owner's Address S"� �{ Owner Phone Number � —� <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Addreaa <br /> JOB ADDRESS � U' L� C LOT* C� <br /> SUBDIVISION —� PARCEL ID�t ��•p��•�� ,(`�(j(L�• (�j l C�,L,F� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT SIGN �] DEMOLISH <br /> INSTALL REPAIR � ���.����, �-d. <br /> PROPOSED USE � SFR Q COMM � OTHER r <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK RS�,�Q ��'l;-�1�,� ^��Z,tJ '�f C,�Z,� <br /> BUILDING SIZE SQ FOOTAGE � �(S�p HEIGHT <br /> �BUILDING $ � • � VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� �� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � <br /> QGAS Q ROOFING Q SPECIALTY [� OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> r e �BUILDER � COMPANY � t!r'� ,_.�,�C <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ;�tJ-1'� License# �'_ ``�I '�''�r� � <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# C <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <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,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities&1 dumpster;Site Wo�lc Pennit 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 constructlon. <br /> Minimum ten(10)working days after submfttal 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 Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW consVuctlon. <br /> Directlons: <br /> Fili out application completely. <br /> Owner&Contractor sign back of applicaGon,notarized <br /> If over 52500,a Notice of Commencement is requlred. (A/C upgrades over=T500) <br />"" Agent(fo�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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />