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813-780-0020 City of Zephyfiills Permit Application Fax-813-780-0021 <br /> 8uilding Department <br /> Date Received � n� <br /> Phone Contact for Permittin –� <br /> Owner's Name 4 Owner Phone Number ' �Q p�S <br /> Owner's Address �1 •�(,, Owner Phone Number —� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � I � 3� LOT# �� <br /> SUBDNISION � `�r ��Y1 PARCEI ID# • a� 0'�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NSTALLSTR B REPAIR � �N� 0 DEMOLISH <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK l.�� S �� CI,�, <br /> C.D) <br /> BUILDING SIZE —� Sq FOOTAGE�� HEIGHT <br /> �BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> �, — <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � I ( '� I <br /> OGAS � ROOFING Q SPECIALTY � OTHER �� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO l � <br /> BUILDER � COMPANY <br /> SIGNATURE REG�STERED 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 J N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CUR Y/N , <br /> Address �C J� .�. � 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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaclHties 8 1 dumpster,Site Work 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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence instailed, <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 constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,nota�ized <br /> If over 525�0,a Notice of Commencement is requlred. (A/C upgrades over a7500) <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 Serv(ce Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />