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813-780-0020 City of Zephyfiills Permit Application Fax-813-780-0021 <br /> - ' Building Department <br /> Date Received <br /> Phone Contact fo►Permittln _ <br /> Owner's Name ��f C► �'J Owner Phone Number <br /> Owners Address ��d 3q X d(� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Sfmple Tftleholder Address <br /> JOB ADDRESS 0�� LOT# r�� <br /> SUBDIVISION PARCEL ID# �� - ' - p� � °�� - <br /> (OBTAINED FROM PROPERTY TAX NOTICE� <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK I"1 �, Ch 1� �' <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W(,R.E.C. <br /> `. <br /> QPLUMBING a 3 <br /> [�NIECHANICAL $� Q VALUATION OF MECHANICAL INSTALLATI <br /> l��° <br /> QGAS Q ROOFING Q SPECIALTY �] OTHER I�j ���'�' <br /> ./ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES O <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 /> MECHANI AL COMPANY L� 'TCV ` �►lr � �Q�'I�"iC�Y2 LLC�. <br /> SIGNATU REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# �,��+� �q� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addresa License# -� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consUuction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadUties&1 dumpster;Site Work Permit for subdivisionsAarge pro)ects <br /> COMMERCIAL Attach(3)complete sets of Build(ng Plans pius 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 compiiance <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 applicadon,notarized <br /> If over i2500,a Notice of Commencement(s required. (AIC upgrades over=7500) <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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />