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s�s-�eo-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Buiiding Department <br /> ate Received ���� phone Contact for Permittin p�i� ��' _ �� <br /> Owner's Name �lD�CY I��JY-0n Owner Pho�e Number <br /> Owner's Address 3�'9�� ��(�-�`"� �(,�° Owner Phone Number —1 <br /> Fee Simple Titteholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3�/�7 �-�-(Ju�y/�, G� LOT# � QyC <br /> SUBDIVISION �Ud�e � �`f� . PARCEL ID# �7 '� -�� ����OObZ�'J— GO�v <br /> (OBTAINED FROM PROPERTY TAX NO7tCE) <br /> VVORK PROPOSED � NEW CONS7R e 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 � STEEL � <br /> DESCRIPTION OF 1NORK y�-/D CUV�/� <br /> BUILDING SIZE �3 x 3�—� SQ FOOTAGE y�� HEIGHT <br /> �BUILDING $ � � � VALUATION OF TOTAL CONSTRUCTION <br /> . <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING $ P���RSERVICE <br /> (813)788-5314 <br /> FAX 1-966-f3247gg4 <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER -¢� I ( �� � <br /> l ' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER , �` ��COMPANY ��1 v - ��LC- <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��Sy �ar� /� /' <br /> 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 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)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary FaGiities 8 1 dumpster;Site Work Permit for subdivislonsAarge 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/Silt Fence installed, <br /> Sanitary Faciiittes 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 construction. <br /> Directions: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of apptication,notarized <br /> If over s2500,a Notice of Commencement is required. (A/C upgrades over E7500) <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 Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />