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813-780-0020 City of Zephyfiills Permit Application � Fax- 0-0021 <br /> , ,��( 2 , . �Building Department <br /> ��J <br /> Date R�ceived _ _ Phone Contact for Permitti - ` "� i <br /> Owner's Name �^. r Phone Number <br /> Owners Address .� � � rR"t '�- Owner Phone Number C -� <br /> Fee Simple Titleholder Name ��p � Owner Phone Number � <br /> Fee Simple Titleholder Address -� <br /> JOB ADDRESS � ' � ' - <br /> .l� ' �, '"Li LOT# '�i- \ O <br /> SUBDIVISION 1.,��r�/ �, `�.�;-„p�.,a��,��s PARCELID# \�-a�-al-c�c��. ��aoe� �;�c-+c-� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw CoNSTR� ADD/ALT [J SIGN Q �] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK �' FRAME � STEEL Q <br /> DESCRIPTION OF WORK � t pc:y c �F \�`� �- �� C� --� ��` ,,._ y ..� <br /> BUILDING SIZE � SQ FOOTAGE�� HEIGHT <br /> �✓BUILDING $ �jg(,�;•c�r� `�3�S� u'a �\ <br /> VALUATION OF TOTAL CONSTRU ION � , Z�O' � r�'� <br /> �----' <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY �] W.R.E.C. <br /> �PLUMBING $ � <br /> � <br /> � �}0 } <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �, �- <br /> ,�� � , 1' <br /> OGAS � ROOFING Q SPECIALTY 0 OTHER � ��� � <br /> U ��r►'� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO p,x,p��` <br /> � � "-�fi l.Ki'� <br /> BUILDER COMPANY ��}i � -' p�a �w�� <br /> SIGNATURE REGISTERED Y/ FEE CURRE� Y/N <br /> Address O�,3 ti t�� ���9 . �'• • N. 3�b`� License# L�'�C_c�5 g S'S 3 <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# C � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# r- <br /> OTHER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address license# r- � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcdon, <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 construcGon. <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 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 /> Directfons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If aver E2500,a Notice of Commencement is required. (AIC upgrades over;7500) <br /> "' Agent(for the contractor)or Power of Attomey(tor the owner)would be someone with nota�ized le�er from ownet authoriziri�same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />