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a�s-�eo-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received .. ,��� Phone Contact for Permittin -- <br /> Owner's Name Q (9 /�/ �f (J"� Owner Phone Number � ' ���'- �7 <br /> Owner's Address � � ( o� ( � a S? Owner Phone Number �- <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT� �� <br /> SUBDIVI510N � PARCEL ID�! <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R 8 ADD/ALT �� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTI(!N Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � � 1 G��� �"j� <br /> BUILDING SIZE �--� Sq FOOTAGE�� HEIGHT <br /> OBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a � AMP SERVICE Q PROGRESS � � W.R.E.C. <br /> OPLUMBING a <br /> /�y�� <br /> OMECHANICAL $ .D Lrri VALUATION OF MECHANICAL INSTAL TION <br /> E CD, �-- <br /> QGAS Q 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 Ucense# -� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# <br /> MECHANICAL - � COMPANY i G� CQ�. i <br /> SIGNATURE �' - ���� REGISTERED / N E CURRE� Y!N <br /> Address License# f �-- <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 constructian, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster,Site Work Permit for subdivisionsliarge 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 constructlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Conshuction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Wor1c Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •""PRqPERTY SURVEY required for alf NEW construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Ovmer 8 Contractor sign back of application,notarized <br /> If over 52500,a Notiae of Commencement is requlred. (AIC upgrades over 57500) <br /> " Agent(for the contracbor)or Power of Attomey(for the owner)would be sameone 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 /> Driveways-Not over Counter if on public roadways..needs ROW <br />