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si3-�so-oo2o City of Zephyfiills Permit Application Fax-813-780-0021 <br /> Building Department <br /> D'ate Received <br /> Phone Contact for Permittin __ <br /> Owner's Name �1 Ct d C ((1Q Owner Phone Number � 3 �� $- I s��a <br /> Owner's Address `Jd35 ( � r" �� Owner Phone Number � <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS SO� $F� S � LOT# �� <br /> SUBDIVIStON �- � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR� ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK �� .rl �n J }-�� � ' �.t <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> QBUI ING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ ` � a � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> f <br /> QPLUMBING $ � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /U' <br /> I ���C� <br /> �{ � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# � -� <br /> ...--"'_�.. i- j _ <br /> ELECTRICIAN ���`--�--"- � MPANY l� SS P�T7�1 � <br /> SIGNATURE r'�I REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# T �� <br /> PLUMBER � � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address L(cense# <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)woiicing days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Fadlities&1 dumpster;Site Work 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/Sllt Fence installed, <br /> Sanitary Facilities&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 constructlon. <br /> Directlons: <br /> Fill out applicatfon completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement(s required. (AIC 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 PERMfTTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />