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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> ° Building Department <br /> Date Received � � �/ �..�____ phone Contact for Permittin — <br /> Owner's Name br!'1A'JLG / � /Vi�T/D� /q/1/I� Owner Phone Number D�3 — �' O!ZZ <br /> Owner's Address (,�Q (U — ��( Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �d Il �lJ�G �i7/!r'S �L. '33� 'j�oZ LOT# � <br /> SUBDIVISION , PARCEL ID# D ��C���I UDLD UO�'�� �5D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e New coNSTR� ADDlALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROP�SED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �D/� �'Re ��e 3� T,� �/,c �jC � �uC� SLOA.�N <br /> BUILDING S12E SQ FOOTAGE�� HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRES,S�NERGY Q W.R.E.C. <br /> !' <br /> QPLUMBING $ � �J <br /> 1 � �� / , <br /> �MECHANICAL $ 2 gf O � VALUATION OF MECHANICAL INSTALLATI / <br /> J lp � <br /> r� ,,,,..---• <br /> �GAS 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# r— <br /> E�ECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r— —� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL ' COMPANY �/QS �A4/bIL° t�j$'t �-° � <br /> SIGNATURE ������� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 7'��'� ���eJll � � /��s . �35�-/ License# ��eDT�� —1 <br /> OTHER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# —� <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Bullding Plans;(1)set of Energy FoRns;R-O-W Permit for new constructlon, <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary FaciliUes 8�1 dumpster;Site Work 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 Permit for new construction. <br /> Minimum ten(10)working days afte�submittal date. Required onsite,Construction 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 /> 31GN PERMIT Attach(2)sets of Engineered Plans. <br /> "`*PROPERTY SURVEY required for all NEW construction. <br /> �����r���r���i������ <br /> �...��� ��,+ �i.i.u.�iirr <br />)�rections. <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is rec�uired, (,�qlG,upgrades over;7500) <br />' Agent(for the contractor)orPower of Attomey~(for the owner)wo�ld be someone with notarized letter from owqQra�ti�erizing Satne` <br />]VER THE COUNTER PERMITTING (Front of Applicatiorrpn4y) , � <br /> teroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> , . .„ .. .. .. ; <br /> Driveways-Not over Counfer if on public roadways..needs ROW � <br />