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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780.0021 <br /> Building Department . ', P� <br /> Date Received —' r <br /> hone Contact for PermiKin <br /> Owner's Name ��Q � L�L Owner Phone Number c�l✓' 7��—18�� <br /> Owner's Addresa 3�a�g o SS ��k �� p�er Phone Number � � <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��3 Z l p T`-` � � �� <br /> LOT� <br /> SUBDIVISION PARCEL ID* <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT �� SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM [—� OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q � <br /> DESCRIPTION OF WORK � ° <br /> c <br /> BUILDING SIZE SQ FOOTAGE � HEI(iHT �� <br /> QBUILDING a <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL s AMP SERVICE Q PROGRESS ENER <br /> � .R.E.C. <br /> QPLUMBING a <br /> QMECHANICAL a h � <br /> VALUATION OF MECHANICAL iNSTALLATION 0 <br /> � )� <br /> �� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES i NO <br /> � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� <br /> Y/N <br /> Address License# C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <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 Buflding Plans;(1)set of Energy Forms;R-0.W Pennit for new oonsUuction, <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadllUes 8 1 dumpster;Site Wo�ic 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 Penmit for new construction. <br /> Minimum ten(10)working days after submittal date. Requ(red onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new pro)ects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW constructlon. <br /> Directtons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over t2500,a Notice of Commencement is roquired. (AIC 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(Piot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />