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813-780-0020 City of Zephyrhilis Permit Application Fax-813-760-0021 <br /> Building Department <br /> Date Received �� -, ` �'7 <br /> '� ��-- Phone Contact for Permittin _ <br /> Owner's Name Owner Phone Number <br /> Owner's Address � U Owner Phone Number � � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titieholder Address <br /> JOB ADDRESS �(�� � � T r LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONS7R ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL � REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q � <br /> DESCRIPTION OF WORK � � � � �� <br /> BUILDING SIZE � SQ FOOTAGE�� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> "�ELECTRICAL $ �' AMP SERVICE �-� jPR�'O�� GRESS ENERGY <br /> C/� -�'� �-�.Y Q W.R.E.C. <br /> �P�UMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � —� <br /> ELECTRICIAN COMPANY �- <br /> SIGNATURE REGISTERED Y/ FEE CURRE� Y/N <br /> 6 � � � . <br /> Address License# �?j�jj'�7G�� <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 /> Address License# �— <br /> RESIDENTIAL Attach(2)Piot 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 Permit for subdivisionsAarge 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 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over a2500,a Notice of Commencement is required. (A/C 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 Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />