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813-780-0020 City of Zephyfiilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin �/�� �,3 _ / � <br /> Owner's Name �G�1�1�LS �,�7' ��T✓� Owner Phone Number ��.3 '3 ��'--�C77.s <br /> Owners Address �3,3' /e Q ,'l /� � ��dp�er Phone Number �- <br /> Fee Simple Titleholder Name /� Owner Phone Number � <br /> Fee Simple Titleholder Address ,L} <br /> JOB ADDRESS �337 /Q� /{ �� •��S ��- ,�,�y(,� LOT# *a <br /> SUBDIVISION � Q�t (/r l �� PARCEL ID# -3�'�S�Z��(fQ,,� ��QDOD� (J <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q [� �EMOLISH <br /> B INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> �ESCRIPTION OF WORK I� p✓G Odt:/� � T /X � � �Ui=F/G/ /�7c."Ti4L <br /> BUILDING SIZ SQ FOOTAGE ��C� ����E� <br /> HEIGHT <br /> UILDING S /s' Q � VALUATION OF TOTAL CONSTRUCTION �.�-'"`���� <br /> w <br /> QELECTRICAL S AMP SERVICE P ESS ENERGY Q , ,C, <br /> PLUMBING �t=� ���I�� � . <br /> CI $ �.____ � ` �--0� <br /> �S7 ,�����?� ��S/�� <br /> OMECHANICAL a VALUATION OF MEC�ICAL INSTALLATION <br /> �� � � � " 3�° � � � l�fd�I <br /> QGAS � ROOFING Q SPECIALTY �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ✓ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED ' Y/ FEE REP Y/ <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r- -� <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 T/� �.�I�Qc'rlef,J '� /'''V t' <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address O Q� �� � + -- �.,33 Ucense# 7 ? � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction, <br /> Minlmum ten(10)virortcing days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary FadllUes 8 1 dumpster;Site Work Permit for subdivislons/iarge projects <br /> COMMERCIAI 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,Conshuction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new proJects.All commerclal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY requfred for all NEW constructlon. <br /> Directfons: <br /> Fill out applfcation completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement Is required. (A!C upgrades over:7500� <br /> " Agent(for the contractor)or Power of Attomey(for the ovmer)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(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />