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813-780-002� City of Zephyfiills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permlttin � �' � --3��p <br /> Owner's Name "� C C, ` � Owner Phone Number <br /> Owner's Address �Q U Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number � <br /> Fee Slmple Titleholder Address <br /> JOB ADDRE33 �U �h LOT# �� <br /> SUBDIVISION � PARCEL IDN �O��.D -o� ' 'C� � �Q� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL � <br /> DESCRIPTION OF WORK ►C C CY ) "t' <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ��32 v <br /> [�MECHANICAL a � VALUATION OF MECHANICAL INSTALLATION <br /> GAS • ��w�� <br /> O O 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 /> Addreas 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 �" � (' t '3 i' ��CJ�1 I Oln �, <br /> SIGNATURE REGISTERED Y/ N PEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y!N <br /> Addreas License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woiicing days after submittal date. Requlred onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlltles 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 Permit for new constructfon. <br /> Minimum ten(10)working days aiter submittal date. Required onsite,Construction Plans,Stortnwater Plans w/S(It Fence installed, <br /> Sanitary FaciBtles 8 1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compUance <br /> SIGN PERMIT Atfach(2)sets of Englneered Plans. <br /> """PROPERTY SURVEY requlred for all NEW constructlon. <br /> Directlona: <br /> Fill out applicatlon comptetely. <br /> Owner 8 Contractor sign badc of appliption,notarized <br /> If over i2S00,a Notice of Commencement Is requlred. (AIC upgrades over i7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)v�ould be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />