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, s�s-�aaoo2o City of Zephyfiilis Permit Application Fax-813-780-0021 <br /> Building Deparlment <br /> Date Received � "/, p <br /> l Phone Contact for Permittin l 3 �a� —� � <br /> Owner's Name �� I� D G./ Owner Phone Number <br /> i <br /> Owner's Address !f Z) �' E �(�t� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Addrosa <br /> J08 ADDRESS LOT# � <br /> SUBDIVISION � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEw CONS7R 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK (C � � Gf G�-� <br /> t <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �BUtLDiNG $ VALUATION OF TOTAL CONSTRUCTION <br /> / � C� o <br /> QELECTR�CAL $ AMP SERVICE Q PROGRESS ENEJ3G�� Q W.R.E.C. <br /> :• <br /> OPLUMBING � f�'� <br /> ,.�F �,C� , <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALL.�TION ���/ ` <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER `� "f <br /> �--_�________. _.... : <br /> F�NISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY ASC � ��N�� <br /> SIGNATURE � REGISTERED N FEE CURRE� N <br /> Address License# <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# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <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 aRer submittat date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence instailed, <br /> Sanitary Facflities 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 constructlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facitities 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 construcdon. <br /> Direct(ons: <br /> Fill out applicatlon completely. <br /> Owner&Contractor sign back of applicatlon,notarized <br /> If over t2500,a Notice of Commencement Is required. (A/C upgrades over=7500) <br /> "' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter f�om 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 />