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813-780-002Q City of Zephyfiills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permfttin _ <br /> Owner's Name U i LKl 2(R�L Owner Phone Number �(�j`-]��a$��Cp <br /> Owners Address j i a�P �� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simpte Titleholder Addresa <br /> JOB ADDRESS �l a� � }� ��'-� �� <br /> LOT# <br /> SUBDIVISION PARCEL ID# �O--a 1 — OD (�� 1��j/(�O ° �13�j <br /> (OBT/UNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT Q SIGN Q �] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK C ���" 3 �S <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY �] W.R.E.C. <br /> QPLUMBING $ <br /> �ECHANICAL $ ,��� VALUATION OF MECHANICAL INSTALLATION �����/ <br /> � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER � <br /> �� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE _ ReGisrEREO Y/ N FEE CURRE� Y/N <br /> Addreas License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL COMPANY +� C, V�C2 c�\ P/�SCV �AK. <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �-U- gOx 1 01� Z�hi��S 3 53� License# C}� j�(�-( <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 FoRns;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 /> Sa�itary FadliUes&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buildfng Plans pius a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new conshucNon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence insNalled, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permft 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 8 Contractor sign back of application,notarized <br /> If over t2S00,a Notice of Commencement ta required. (AIC upgradea over s7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be sameone with nota�ized tetter 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 public roadways..needs ROW <br />