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813-780-0020 City of Zephyfiills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received - �Q / Z Phone Contact for Permittin '� � ���- �� <br /> Owner's Name �U S�d/ d- Z�c�,.�KG L'�� Owner Phone Number —��J�" <br /> Owner's Address S�3 1 S�' S '�'f��9�' Owner Phone Number C <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS s�S I $'H' S"r1-�� Z h r��I(t �• �3 5��Z- LOT# � <br /> SUBDNISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAIC NOTiCE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT � SIGN Q �� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [�] SFR Q COMM 0 OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q � <br /> D SCRIPTION OF WORK ��/�7/X11 L J�ieG-FpY�] ��p ` O x I <br /> BUILDING SIZE l� �' � SQ FOOTAGEC� HEIGHT ] <br /> [ ti BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> .. <br /> ?7G► t <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � A ,,)� (.o <br /> �,Vv� � (�7 �� <br /> OMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION � ��^�;�-'��° <br /> � -�C_r� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER ,��3�3 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ILDER ���1 COMP NY <br /> SIGNATURE � REGIST RED Y/ N FEE CU E� Y/N <br /> Address ��'-� License# C <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE 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 Building Plans;(1)set of Energy Forms;R-0-W PeRnit 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 Work Permit for subdivisionsflarge 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 construcdon. <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 requlred for all NEW construction. <br /> Directions: <br /> Fill out application completely <br /> Ovmer&Contractor sign back of applicaHon,notarized <br /> If over t2500,a Notice of Commencement is requlred. (A/C upgrades over E7500) <br /> " Agent(for the contractor)or Power of Attomey(for the ovmer)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 />