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813-780-0020 City of Zephyfiills Permit Application Fax-813- 0-0021 <br /> Building Department �--- _�� <br /> Date Received 2-- � � Phone Contact fo�Permfttin �� -- � S <br /> �'� �3 r 3 -�' ' ` �' <br /> Owner's Name d�/ -� i ner Phone Number ' <br /> Owner's Address '��` �� � �O� r Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee 3imple Titleholder Addresa <br /> JOB ADDRESS S��? /� � � ,� `I t'( ,J ..` � LOT# C� <br /> SUBDIVISION �— PARCEL ID� ��'Zro��, T L���� �� ��S6� ' ��S(S <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADDlALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL � <br /> DESCRIPTION OF WORK ���K Z S G�irv�t'� <br /> BUILDING SIZE Z�,h � S SQ FOOTAGE � ��J HEIGHT I�G <br /> [�]BUILDING a ��3 b r c^ VALUATION OF TOTAL CONSTRUCTION <br /> . <br /> QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ �/���/� <br /> � � ✓ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO ��� <br /> ° 2 s� ✓ � <br /> �� , I, �p� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER r�J-�'"�l�r/f""/ <br /> � ��r <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO(�� <br /> BUILDER - � �� COMPANY G>rL- <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address ��„ Z��sr`•.G.e ` Js3 License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt� 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 /> Address 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)wortcing days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary FaciliUes 8 1 dumpster,Site Wor1c Permit for subdivisions/large projects <br /> COMMERCIAL AtNach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new wnstructlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Fadlities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet complfance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "•"'PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out applicatlon completely. <br /> Owner&Contractor sign back of applicadon,notarized <br /> If over SZS00,a Notfce of Commencemerrt la requlred. (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(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />