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813-780-0020 City of Zephyfiills Permit Application � ,3`��Fax-813-780-0021 <br /> Building Depafinent �--- <br /> � // . ./4��l' <br /> Date Received •� l�,j' �f�, r �,� f 1�3 <br /> hone Co tact for P 3���` �- <br /> Owne�'s Name � Owner Phone Number � ' <br /> �-- <br /> Owner's Address � � e�T Owner Phone Number <br /> Fee Simple Titleholder Name � Owr�er Phone Number <br /> Fee Simple Titleholder Address f�'/°L. <br /> JOB ADDRESS � / �� �i°T LOT# �� <br /> SUBDIVISION PARCEL ID� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED e NEW CONS7R 8 ADD/ALT [—_] SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL � <br /> DESCRIPTION OF 1N� l`�C� � ^ � r1 � �� <br /> BUILOING SIZE SQ FOOTAGE "�__ ,y.GiL7 HEIGHT <br /> BUILDING $ �7� VALUATION OF TOTAL CONSTRUCTION <br /> G� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ]� ��� <br /> ��'`'°"�w`� <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION 9 C'' �"" <br /> [�GAS [g� RO� OFING_,Q SPECIALTY Q OTHER - <br /> FINISHED FLOOR ELEVAT NS FLOOD ZONE AREA QYES NO � ���"� <br /> h ,� <br /> BUILDER � <br /> � � COMRANY �Ol C �'✓?�LJ � (�, �'j-� <br /> SIGNATURE � �� � REGISTERED Y N FEE C RR � /N <br /> Address License# � l Q <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# —� <br /> MECHANICAI 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 /> MiMmum ten(10)wo�lcing days after submittal date. Requ(red onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadllUes 8 1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)wmplete sets of Buflding Plans plus a Life Safey Page;(1)set of Energy Forms.R-O-W Permit for new constructlon. <br /> Minimum ten(10)w�orking days atter subm(ttal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new proJects.All commercial requlrements must meet compiiance <br /> SIGN PERMIT Attach(2)sets ot Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW construcdon. <br /> Directlons: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement Is required. (A/C upgrades over:T500) <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 Applicatlo�Only) �M y� <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) ` """ • <br /> Driveways-Not over Counter if on public roadways..needs ROW ' <br />