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813-)80-0020 City of Zephyfiills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin — <br /> Owner's Name � � � / ��,c� �l/ ��l1 c- Owner Phone Number <br /> Owner's Address L���G y�"r�'�S�lv�� �(` ���f'E� �� ��p� Owner Phone Number � � <br /> Fee Simple Titleholder Name � Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ���� � �� r �v�'1�.J J " LOT# � <br /> SUBDIVISION �— PARCEL ID#� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q C� DEMaLISH <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 IN,j 4 1 L- r ' •-F �/Gl ^ <br /> BUILDING SIZE �— SQ FOOTAGE HEIGHT �_� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> [�ELECTRICAL $ � ._. ' AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> ,�UCi <br /> OPLUMBING $ <br /> �MECHANICAL �� VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> .'� � - <br /> ELECTRICIAN � ' COMPANY �� ' <br /> SIGNATURE � / ^ REGISTERED Y/ N FEE CURREP Y/N <br /> � �/ <br /> Address �..5� � fCQG 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 /> Address License# C <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcGon, <br /> Minimum ten(10)working days after submlttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivfsions/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 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 8 Contractor sign back of applicatlon,notarized <br /> If over s2500,a Notice of Commencement is required. (AIC upgrades over:7500) <br /> "" Agent{for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Sunrey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />