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813-780-0020 City of Zephyfiills Permit Application Fax-813-780-0021 <br /> _ Building Department <br /> Date Received Phone Contact for Permittin - <br /> Owner's Name NN��� ��=f ��d- Owner Phone Number P��3 � �7�'- 7o a v <br /> Owner's Address JT Q7 3 ��� r3/�� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 'J O�3 � T,3�✓� LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER �w cs,� �Q.� c = r,,. <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q _ _ <br /> DESCRIPTION OF WORK S ' r-�- /�-�', � �,.� <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 /> QPLUMBING $ <br /> QMECHANICAL �� VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q 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 REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# �— � <br /> PLUMBER )v /='/� COMPANY S,ra�Cp.,�, Ib 4 �:I/z- <br /> SIGNATURE �l �� � w`f REGISTERED Y/ N EE CURRE� Y/N <br /> Address 3 d 8 3 c. �� i Zi� ,r� /( License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAI. 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)wo�lcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&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 submlttal date. Required onsite,Constructlon 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 construction. <br /> Directtons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over s2500,a Notice of Commencement is required. (AIC 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 PERMI7TING (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 />