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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Buiiding Department <br /> a <br /> Date Received '' '� '� phone Contact for Permittin '-Y� _ <br /> Owner's Name � - 1 Owner Phone Number '_I�_1�j� <br /> Owner's Address � r 1O Owner Phone Number � � <br /> Fee Simple Titieholder Name � Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � 1 p�� LOT# �� <br /> SUBDIVISION ��� lC., ��S � . PARCEL ID# 'a�p' �-�" O� (��C�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �� SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q� , <br /> DESCRIPTION OF WORK �C�ll�Xl C�Y (Y�(�� <br /> BUILDING SIZE i�-�� 1L 3� � SQ FOOTAGE � �� HEIGHT ] <br /> ��BUILDING $ JJ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ , AMP SERVICE Q PROGRESS ENE.RGY Q W.R.E.C. <br /> �PLUMBING $ <br /> MECHANICAL � ,�`l� <br /> $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO � <br /> BUILDER �/y�`� CJ%t�"`�-[.� COMPANY (S�S�(� mrt �C_ <br /> SIGNATURE REGISTERED N FEE CURRE� Y/N <br /> Address � �2�`j� License# � � �d`ZS�I b <br /> ELECTRICIAN �K �� COMPANY L��-C�� <br /> SIGNATURE REGISTERED Y N FEE CURRE� Y N <br /> Address (�.,�.5 License# �-��Z�-1(� <br /> PLUMBER /���,(� � COMPANY �S�--Y- M}-� S�(C_ <br /> SIGNATURE ��'��� REGISTERED N FEE CURRE� N <br /> Address 1�_ �J License# t���2,.�Z�b <br /> MECHANICAL �� � ��i� „ � COMPANY ��►�" �S �C <br /> SIGNATURE !� ��� REGISTEREO Y/ N FEE CURRE� Y N <br /> Address � S License# ���t .�'I� <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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities& 1 dumpster:Site Wnrk Permit for suhd�visinnsAargp oroj?�ts <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 construcUon. <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 construction. <br /> 'TTI 1 1 1 11 1 I I�1 1 rl 1 1 rr I I I <br /> �� IJJ3�1 1 J.N.LL l i I!1 L.LLLI <br /> Directions. <br /> Fill out applicaUon completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over ST50U) <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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />