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813-780-0020 City of Zephyfiills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �� !8— �/2 Phone Contact for Permittin ��Z- u.� _(�vc�� <br /> Owner's Name ?�� �' �����Gb���� Owner Phone Number 4`3'�"�3g�0 <br /> Owner's Address �Z� �/� G �f' Owner Phone Number <br /> Fee Slmple Titleholder Name �— Owner Phone Number � <br /> Fee Simple Titleholder Add►esa <br /> JOB ADDRESS ��� C�C� .e S� — Z �i��S LOT# C� <br /> SUBDIVISION �YJ�{�,S�� � PARCEL ID# �� Z�� ����"��� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK l • �� Q'�..�f1r�r� �QJw.� <br /> BUILDING SIZE J�� � � SQ FOOTAGE�� HEIGHT <br /> OBUILDING $ (,/�� gp VALUATION OF TOTAL CONSTRUCTION <br /> lf V <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENE GY Q �t7 �R.E f �� <br /> �,t���" <br /> . /� / �4 <br /> QPLUMBING $ �J/„�y,c' 7' ��t� ` <br /> / <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIOt�ti <br /> /� I � `\ <br /> QGAS Q ROOFING Q SPECIALTY � OTHER �' ��� �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES y�� � <br /> T <br /> BUILDER COMPANY � <br /> SIGNATURE 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 /> PI.UMBER 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 (AI/?✓�C 1�✓GW�S`t�v � �'0� x"'`� <br /> SIGNATURE �""� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� � 7� (( - /`����Zb License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Mlnimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGlities 8 1 dumpster;Site Work Permit for subdivisionsAarge 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,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitfes&1 dumpster.Site Work Permit for all new projects.All commerclal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "**"PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicaHon,notarized <br /> If over 52500,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 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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />