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s�saso-oo2o City of Zephyfiills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received phone Contact tor PermitUn -- <br /> Owner's Name � � �i r'i��� '�i�✓ �%� Owner Phone Number <br /> Owner's Address �� �' s� Owner Phone Number �— <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> J08 ADDRESS �� d ��`��" LOT� � <br /> SUBDIVISION � PARCEL IDM �� �.1 � B/'� 9SAD '��-� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WoRK PROPOSED e NEW CONSTR 8 ADDIALT Q SIGN � � DEMOLISH <br /> INSTALI REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK 1� �0�=f �� 4✓i/'� 3 'A /�C.- /�I✓�G�S <br /> BUILDING SIZE r— SQ FOOTAGE� HEIGHT <br /> QBUILDING S f� f/g� � VALUATION OF TOTAL CONSTRUCTION <br /> rC, 7 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING a <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 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/N <br /> Address License# �— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER �G�`�,� COMPANY C�A1�/ 1L�O�'r"�'`' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address �� ��� l-3�F'.� Q � �L'�, License# �W 4 e���`��� <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,ConsUuction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary FaciliUes 8 1 dumpster;Site Work Permit for subdivisfons/large projects <br /> COMMERCIAL Attach(3)complete sets of Buildi�g 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 Facilitfes 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 consVuctlon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement la required. (AIC upgrades over 57500) <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 Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />