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813-780-OO�o City of Zephyrhilis Permit Appiication Fax-813-780-0021 <br /> Building Department <br /> Date Received �. � <br /> Phone Contact for Permittin _ <br /> Owner's Name � Q Q /"jj��j �E � Orvner Phone Number ��3 '�Q�' Q(�� <br /> Owner's Address ���p � L � � �E� ��j/� p�er Phone Number � <br /> (------- <br /> � <br /> Fee Simple Titleholder Name Owner Phone Number —� <br /> Fee Simple Titleholder Addresa <br /> JOB ADORESS �O �'1 �,I� � C�}$� ��� Q� .�L LOT N �l� <br /> SUBDIVISION t,°G D D lit� � PARCEL ID# <br /> (OBTAINED FR�OM PROPERTY T�TicE)DEMOLISH <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN <br /> e INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL [� <br /> DESCRIPTION OF WORK .�N$'�, 3(5,D�p�J 7 y(� � 1�,� x} C <br /> BUILDING SIZE 3Q FOOTAGE C] HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGR ENERGY Q Y1F .E.C. <br /> OPLUMBING $ � �� <br /> QMECHANICAL a VALUATION OF MECHANICAL INST L �� <br /> LA�� <br /> � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas 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 ' r� � COMPANY �S ��'j ���G"�'�� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address '�{ / (E/�J ` 7�//�$ �3 �f License# � � ,�j � <br /> OTHER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Addreas License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGNUes 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets o/Bufld(ng Plans plus a Life Safety Page;(1)set oi Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submlttal date. Requfred onsite,Construction Ptans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflittes 8 1 dumpster.Site Work Permit for all new proJects.AII commerciat requirements must meet compUance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY requlred for all NEW construcUon. <br /> ,���������.���...��.���.. <br /> Directfons. ' '"'' <br /> Fill out applicaHon completely. <br /> Owner&Confractor sign back of applicaUon,notarized <br /> If over t2500,a Notice of CommencemeM is required. (A/C upgrades over s7500) <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 Appticatlon Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on publiC roadways..needs ROW <br />