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s�s-�so-oozo City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receivec� Phone Contact for Permittin o�� ��G -- ,� �7' <br /> Owner's Name �1�--�/� �U'�(/'� Owner Phone Number s�7� /J(/-c� 6�-�,� <br /> Owner's Address 39.sy� G/tn��a f �('i�- Owner Phone Number <br /> Fee Simpie Titleholder Name � Owner Phone Number <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS � /J �9 C�"c�-`Y�/ �/� LOT# �o� <br /> SUBDIVISION �� � � ��-�tl PARCEL ID# d-'�—�O -�f d GU�—G{�I�O�-' D(JJ�C/ <br /> ,�,� (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I V I NEw CONS7R ADD/ALT � SIGN Q O DEMOLISH <br /> Q INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � ��T <br /> BUILDING SIZE �7 u y� SQ FOOTAGE �� d HEIGHT <br /> �BUILDING $ � � D� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRE ENERGY Q W.R.E.C. <br /> �PLUMBING $ ✓�(,�� <br /> PASCO PERMIT gERVrC;�. <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO �813��'�14 <br /> y � �'�4789�1. <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � `'i� / <br /> BUILDER �,�� , //���,,,/, � �,MPANY ��J C� y� .,�52� �C. <br /> SIGNATURE L`'— ti ��-Ywl REG�STERED Y/ N FEE CURRE� Y/N <br /> Address ��S �1' � �� � Z � /C License# � Od ���7� <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y 1 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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Woric 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 52500,a Notice of Commencement is required. (A/C upgrades over:T500) <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />