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�"-r�"'uc'1u City of Zephyrhiils Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received • � d ,� � <br /> ` �� Phone Contact for Permittin �� ,( ._ 6 <br /> Owner's Name .� � i � �" Owner Phone Number � ?j (� <br /> " 6 Jr� <br /> } .,.. � <br /> Owner's Address � �^� � S F Z- �,� s � O�er Phone Number <br /> Fee Simple Titleholder Name 1J P �`-- _ -`- - ; q• Owner Phone Number <br /> Fee Simple Titieholder Address � � L t �"` ' h � � �� <br /> JOB ADDRESS � � �' �"' S � Z ^ (`� , tI S ` I � <br /> LOT� <br /> SUBDIVISION PARCEL IDA� <br /> (OBTAINED F�PROPERTY TO rcE)DEMOLISH <br /> NVORK PROPOSED NEW CONSTR ADD/ALT � SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED U3E SFR Q COMM � 07HER <br /> TYPE OF CONSTRUCTION BLOCK [� FRAME [� STEEL [� <br /> DESCRIPTION OF WORK r � I q � � t• „ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING s <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE Q PROGRESS EIVERGY �] W.R.E.C. <br /> �PLUMBING s <br /> � b � � I � " � t <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY [_] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � ` <br /> / � COMPANY� �i� ��j �, <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 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 License# �— � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)seb of 8uildfng Plans;(1)set of Energy Fortns;R-O-W Permit for new conshuction, <br /> Mfnimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles�1 dumpster;Site Work Permit for subdivisionsAarge pro)ects <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 FaciNties 8 1 dumpster.Site Work Pennit 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 constructlon. <br /> Directlona: <br /> Fi0 out applicatlon compietely. <br /> Owner 8 Contractor sfgn back of appl(caHon,notarized <br /> If over=2:i00,a Notice of Commancemsnt Is required. (A!C upgradea 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 Application Only) <br /> Reroofs it shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Drivewaya-Not over Counter if on pubflc roadways..needs ROW <br />