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s�3-�ao-oozo City of Zephyfiills Permit Application `�� Fax-813-780-0021 <br /> Building Department �.�! � ��Q ' <br /> �'�. <br /> Date Received � Z �i�� rJ� � S-�/ <br /> Phone Contact for Permittin <br /> Owne►'s Name ���-��� �(�`aC ¢ Owner Phone Number a�3- 7�3-1/9d <br /> Owners Address � ��! /7 �C��- Ovmer Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number -1 <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS � l� ��/� n � LOT� 3 v <br /> SUBDNISION QK �J� �f7�f' PARCEL ID� v�""� �D oZ.c3O-' �O(/W-Q�O U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK CSG�� �`Q�IJ� Dh -�JC�J � <br /> BUILDING SIZE �� ���� x �oZ� lr� SQ FOOTAGE oZO� HEiGHT <br /> �BUILDING $ �/ �O � VALUATION OF TOTAL CONSTRUCTION <br /> Y <br /> QELECTRICAL s AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING a <br /> �MECHANICAL a VALUATION OF MECHANICAL INSTALLATION �AS�P�R��T SERVIC� <br /> (813} �88-5314 <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER �� ���4� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> S GNATURE �C� `�""'�'�� � ���r �ROM RIEIo �r'"-Y/�N � �cuR� NCC <br /> Addreas ��y0 ���' �� Z N-� ( ' License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP 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 CURREP Y!N <br /> Addreas 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)wo►king days after submlttal date. Requfred onsite,ConsUucUon Plans,Stormwater Plans w/Silt Fence instalted, <br /> Sanitary FadBties 8 1 dumpster,Site Work Permit for subdivisionsllarge proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans pius a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructfon. <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 commerc(al requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Pla�s. <br /> ""PROPERTY SURVEY requlred for all NEW constructlon. <br /> Directiona: <br /> Fill out applicatlon completely. <br /> Ovmer 8 Contractor sign back of appiiqUon,notarized <br /> If over t2500,a Notice of Commencement is required. (AIC upgrades over 57500) <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 Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drivewaya-Not over Counter if on public roadways..needs ROW <br />