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813-780-0020 City of Zephyfiills Permit Application Fax-813-780-0021 <br /> Building Depafinent <br /> Date Received Phone Contact for Permittin _ <br /> Owner's Name � ��\ V���'-K L�i � � c � <br /> E Cl � Owner Phone Number '(�q- b Z C� ��r <br /> Owner's Address �`l�3 � �Yh f� Z-E t'�l�?;r �� � ;� � (2, - � , <br /> � . Owner Phone Number >� '�' ���;� <br /> Fee Simple Titleholder Name Owner Phone Number �- <br /> Fee Sfmple Titleholder Addresa <br /> JOB ADDRESS �>��'� ; � �:, ,�j�',`�„' - , ,.'f ;. r' �f' I(, = LOT# �� <br /> SUBDIVISION ��/� �/� N���+� � PARCEL ID# . . a- � � ' OU4C- D v �'°;�- r'f <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL � REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK I l��YL �1 ,�� '^ 6 � X I �]� � <br /> BUILDING SIZE -1 SQ FOOTAGE�_� HEIGHT �� <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ,�-.ZSc'� •OQ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � ✓ Z[ I <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FiNISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUI�DER � COMPANY Q�( � (� �F <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas License# � � <br /> ELECTRICIAN COMPANY <br /> SiGNATURE REGISTERED Y/ N FEE CURREI� Y/N <br /> Address License� � -� <br /> PLUMBER � COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addresa 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 CURREI� Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buflding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadflNes&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Bufldfng Plans plus a Lffe Safety Page;(1)set of Energy Fonns.R-O-W Pertnit for new construcUon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercfal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY requfred for all NEW construction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notartzed <br /> If over 52500,a Notice of Commencement Is required. (A/C upgradea over=7500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner autMorizing same ,, <br /> OVER THE COUNTER PERMI7TING (Front of AppHcation 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 />