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e�3-�8o-oozo City of Zephyfiills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin <br /> Owner's Name s ��py�, p�.�h , Owner Phone Number <br /> Owner's Address � 3 ,s�o.^� S� Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee 3imple Titleholder Addresa <br /> JOB ADDRESS G � 4,r �3 �A` f � <br /> C LOT# <br /> SUBDIVISION C�� '��t'�o� PARCEL ID# O�.-Z(o-Z( _0 �a � Q � O _ O <br /> O <br /> (OBTAINED F�RO—�M pROPERTY T�ricE)DEMOLISH <br /> WORK PROP03ED e NEW CONS7R 8 ADD/ALT � SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER i;K 1.,,,. <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �µ s � <br /> Y � �w <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE <br /> Q PROGRESS ENERGY O W.R.E.C. <br /> OPLUMBING $ <br /> I��o i�0 <br /> #�-2i � z <br /> OMECHANICAL a VALUATION OF MECHANICAL INSTALLATION <br /> OGAS [� ROOFING Q SPECIALTY <br /> �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> L]YES NO <br /> BUILDER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y! N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> OTHER /�j� COMPANY To� � <br /> SIGNATURE /-yv � o�r'r y�v � �j a��ti„� �,� , <br /> REGISTERED Y/ N FEE CURRE� /n) <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding 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/Sflt Fence installed, <br /> Sanitary FadliUes 81 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buildfng 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 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&Contractor sign back of application,notarized <br /> '. If over=2500,a Notice of Commencement(s requ(red. (A/C upgrades over 57500) <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of AppNcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />