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si3-�ao-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> , W, <br /> Date Received �� � �__ -7 <br /> � J Phone Contact for Permitting ,$�p2 sa ) -- 7 � <br /> Owner's Name Owner Phone Number � <br /> Owner's Address � : �/Q/J � ,� � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# �� <br /> SUBDIVISION PARCEL ID# /S" 02 6 ' - �/ DODU O Do?(� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM Q OTHER <br /> TYPE-OF CONSTRi:1G710N Q BLOCK � FRAME Q STEEL � OTHER <br /> ; DESCRIPTION OF WORf( � ` �`� "` <br /> __._._ __.. <br /> , �___.__--- ,� <br /> �UILDING SIZE SQ FO AGE HEIGHT <br /> c <br /> Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION � / <br /> 0 ELECTRICAL $ AMP SERVICE 0 PROGRE W.R.E.C. <br /> 0 PLUMBING $ <br /> MECHANICAL ��b`���7� <br /> � $ � � .,,, VALUATION OF MECHANICAL INSTALLATION <br /> � . �� <br /> 0 GAS � ROOFING � SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA �YES �NO <br /> BUILDER COMPANY <br /> SIGNATURE F2EGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# -� <br /> MECHANICAL � _ COMPANY � <br /> SIGNATURE REGISTERED N FEE CURREN Y/N <br /> Address License# �G� 5'" .S"�S" <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address <br /> 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 /> 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 PeRnit 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 after 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 /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> `"**PROPERTY SURVEY required for ail NEW construction. <br /> Directions: <br /> Fiil out application completely. <br /> Owner 8�Contractor sign back of application,notarized <br /> If over$2500,a Notice ot Commencement is required. (A/C upgrades over a5000) <br /> '* Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />