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F13-780-Q020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � � <br /> Phone Contact far Permittin _ <br /> Owner's IVame � lf/�.ff/f'"/'� Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �1T;J�( /(/�i,��jS� /4 fi��,' LOT# C� <br /> SUBDIVISION , PARCEL ID# � ,z.� �� f��//j} a y�or� a�/� <br /> (OBTAINED P�PROPERTY T�ncE)DEMOLISH <br /> WORK PROPOSED e NEw CONSTR ADD/ALT �� SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE � SFR Q COMM C, OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK [� FRAME [—� STEEL O �'—'--� <br /> DESCRIPTION OF WORK Jf� �D6��= � ,� _S/SL,',,t/v%t�S <br /> BUILDING SIZE SQ FOOTAGEC� HEIGHT <br /> [�BUILDING $ �,.- <br /> ;���'� VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL � AMP SERVICE PROGRESS E <br /> � ^ CJ W.R.E.�, <br /> /J <br /> OPLUMBING $ <br /> � � Gj <br /> / <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ! <br /> OGAS Q ROOFING Q SPECIALTY �� OTHER � � �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> � <br /> Address <br /> License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> OTHER �,..� , ��� COMPANY �/ir✓ /��%'//'�6° <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� I�;l�,� .��.3 ,�lt�1� e,t''( �(�. License# �D�p��� � <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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 Facllities 8 1 dumpster.Site Work Permit for alt new projects.All commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""*PROPERTY SURVEY requfred for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is requi�ed. (A/C upgrades over;7500) <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(Plof/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />