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R13-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin <br /> Owner's Name = ~ Owner Phone Number l3 r -Z.� <br /> Owner's Address �� p � - ' —� ?,�, � pWner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � ;' �;,. �� _ 33 s y LOT# U <br /> SUBDIVISION , PARCEL ID# v�' -' � (�(J ' ��� <br /> (OBTAINED FROtiA PROPERTY TAX NOTICE) <br /> WORK PROPOSEO e NEW CONSTR B ALT � SIGN Q Q DEMOLISH <br /> INSTALL EPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLO FRAME � STEEL Q <br /> DESCRIPTION OF WORK '� — � <br /> � �� - <br /> . � ; <br /> BUILDING SIZE SQ FOOTAGE L � HEIGHT �f�� <br /> BUILDING $ <br /> � �� VALUATION OF TOTAL CONSTRUCTION <br /> �J <br /> � ..� <br /> QELECTRICAL $ AMP SERVICE Q PROGR ENERGY Q W. .E.C. <br /> �PLUMBING $ -' � <br /> � � � <br /> o` <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLA ON <br /> QGAS Q ROOFING Q SPECIALTY <br /> C� OTHER <br /> FINISFiED FLO�R ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ' COMPANY ' <br /> 51GNATURE {� � � <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' License# <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 /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> 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 Forcns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucGon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large p�oJects <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 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 required for all NEW construction. <br /> D(rections: <br /> FIII out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over;7500) <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 Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlobSurvey/Footage) <br /> _. ,. .�.. .. ,�.. .. . <br /> Driveways-Not over Counter if on public roadways..needs ROW , � <br /> y ' . <br /> + >«_� ..,�... _.,...... .,«.......,. . <br />