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813-780-0020 City of Zephyfiills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received r �s..� � �� � �y/� <br /> rPermittin <br /> Owner's Name --�, � �� ��,;,,:,,,;���_�, <br /> ' Owner Phone Number <br /> Owner's Address � �J/"� �'�,�� � /� pvvner Phone Number � —� <br /> Fee Simple Titleholder Name �� Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � .� / � � �/'� !/ LOT# C� <br /> SUBDIVISION PARCEL ID# <br /> (08TAINED FR�OM pROPERTY T�ncE)DEMOLISH <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT [� SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BIOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �; . ��, Uw - <br /> BUILDING SIZE �--� gp FOOTAGE HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> -QELECTRICAL � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br />/= �--r--�— - _ <br /> � PLUMBING�j- $ ��� �, % <br />�__ � � y�� <br /> MECHANICAL��-"" � � � <br /> 0 VALUATION OF MECHANICAL INSTAL ION � <br /> �GAS Q ROOFING � ✓ <br /> Q SPECIALTY 0 OTHER �� � (��I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO (L <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 /> -'._�-----� <br /> Address Lfcense# —� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> OTHER �� � �J� � COMPANY p/'f f o �7/ji,��' S.�jK, <br /> SIGNATURE /��"""'�J`� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��C ��/�'S�'`� /�✓ S� �"�a �'!� License# �� �v � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pem►it for new consVuction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities 8 1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safery 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 consVuctlon. <br /> Directfons: <br /> Fill aut application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement Is required. (AJC 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 (Froot of Applicatian Only) <br /> Reroofs if shingles Sewers Servfce Upgrades A/G Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways.,needs ROW <br />