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aia-�eo-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department -- ' <br /> .� <br /> Date Received �� � � � <br /> Phone Contact for Permittin __ <br /> Owner's Name . � �� Owner Phone Number <br /> Owner's Address -� <br /> S � v �'f"� 2C�Z Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Addresa <br /> J08 ADDRESS ���j �f5 ��/� � LOT# C� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FO PROPERTY T�TicE►DEMOLISH <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ����C a/J� CL (�i,it "� <br /> BUILDING SIZE �— SQ FOOTAGE� HEIGHT <br /> QBUILDING �� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL � AMP SERVICE �� � PROGRESS ENER(',Y [� W.R.E.C. <br /> iJJ <br /> ,3ys � -- <br /> QPLUMBING � � <br /> .� � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATI N �! t� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYE <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY �'����1 C�jG �� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ' <br /> Address ,� � �� �._C.,1, �r—� License# I—�c,/31�v�3�3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURREA 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,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facllities 8 1 dumpster;Site Work Permit for subdivisfonsAarge 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 construcUon. <br /> Direct(ons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over;2500,a Notice of Commencement ia required. (A/C upgrades over:7500) <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 AppUcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Oriveways-Not over Counter if on public roadways..needs ROW <br />