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813-780-002Q City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recetved �- � <br /> Phone Contact for Permittin _ <br /> Owner's Name a��✓� �j�'�V1�,7 Owner Phone Number <br /> Owner's Address �' '2� 57��/1��'�-S ��-7f� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ^��/ ��������I �`����� LOT�t �� <br /> SUBDIVISION PARCEL ID# e� -��-:�l-QC ������� —Q�j�1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT �� SIGN Q � DEMOLISH <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 �'" ���� �� � k///�N �jj�' �1,�LG %i.21� S/�/j`�✓�..G�S' <br /> BUILDING SIZE �— SQ FOOTAGE C� HEIGHT <br /> �BUILDING $ r�/��� � VALUATION OF TOTAL CONSTRUCTION <br /> ! 7 <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS E GY � � W.R.E.C. <br /> QPLUMBING $ �, � <br /> � 'i�0�� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLAT ON <br /> QGAS Q ROOFING Q SPECIALTY � OTHER . `' ,"j <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � "� �� �s� �J <br /> K <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <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# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> / /1 /� <br /> OTHER ��`"7 G� COMPANY 1""��'W �`D�'i��/� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Add�ess � a� � t 3�� ��/�� Ct� � License# L' B 0�� 7 4/� <br /> RESIDENTIAL Attach(2)Plot P�ans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Requfred onsite,Construction Plans,Stormwater Ptans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Wo�lc Permit for subdivisions/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)worlcing days after submittal date. Required onsite,ConsVuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilittes 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 consVuction. <br /> Directions: <br /> Fill out application completety. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Rower of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTNVG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgfades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />