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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received `�— ._ Phone Contact for Permittin -- <br /> Owne�'s Name �Yl �' �(1J�.j Y I e,� Owner Phone Number a I J Y 'l.¢f��3 <br /> Owners Address '�n � �� Owner Phone Number —� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addreaa <br /> JOB ADDRESS `6 ac � � L LOT# C� <br /> SUBDIVISION PARCEL IDN t�o?�p" �' �� ��'��'�et�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS EN Q W.R.E.C. <br /> QPLUMBING $ � /�, <br /> �� � <br /> [`�JMECHANICAL � � VALUATION OF MECHANICAL INSTALLATI � <br /> [�GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYE 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 I � � 1 1'� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE RECaISTERED Y J N FEE CURRE� Y/N <br /> Addreas License# r— <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buflding Plans;(1)set of Energy Forms;R-O-W Permit for new constructlon. <br /> Minimum ten(10)working days aRer submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities&1 dumpster;Site Worlc Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Buildfng Plans pius a Life Safety Page;(1)set of Energy Forms.R-O-W Permtt for new construction. <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facifltles�1 dumpster.Site Work Permit for ail new proJects.Ail commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructlon. <br /> Directiona: <br /> Fill out applicatlon completely. <br /> Ovmer&Contractor sign back of applicatlon,notarized <br /> If over 52500,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 PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fenc�s(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs R01N <br />