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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received -�' ` .�� _ "35 � <br /> Phone Contact for Permitting � � <br /> Owner's Name � �°E �l. � ���� ��'�6/ �' 1�� � Owner Phone Number <br /> ` � COwner's Address �� 1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address i <br /> JOB ADDRESS LOT# �� <br /> SUBDIVISION k� , PARCEL ID# <br /> (08TAINED FROM PROPERTY 7'AX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q �� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER �— <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q I <br /> DESCRIPTION OF WORK �Y�S�t �'rj h'�. ����j I IS �j����>i11"" ti�' �`�,YY' ,i�t/C_�K-j �� �1-�ti i Y� <br /> r <br /> BUILDING SIZE �0'��-(' S� 1 SQ FOOTAGE�� HEIGHT —�] ,��C3- <br /> BUILDING $ � .j� u � VALUATION OF TOTAL CONSTRUCTION <br /> U / <br /> DELECTRICAL $ a, AMP SERVICE � P ESS ENERGY W.R.�: <br /> �-� <br /> �PLUMBING $ ��i.o �J� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �(,�7� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> �� v ( <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �- � /�(^ ` ` ` COMPANY i`j VI'1')!►��,1�y� <br /> SIGNATURE ��,�Ci' �1.�� �� 1� ���/ REGISTERED Y/ N FEE CURRE� , Y/N <br /> Address ` License# C <br /> ELECTRICIAN ��y�y�, � COMPANY �� Q4S C� �.�£�'�� ��J�- . <br /> SIGNATURE ���� �-\ ^��- v REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C —� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <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)woricing days after submittal date. Required onsite,Constniction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W F'ermit for new construction. <br /> Minimum ten(10)wo�king days after submittal date. Required onsite,Construction Plans,Stormwate:r Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpste�.Site Work Permit for all new projects.All commercial requirements rnust 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 /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A!C 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 PfRMITTING (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 />