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a�s- +0-002o City of Zephyfiills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin -- <br /> Owne�'s Name ��iIL�C� Owner Phone Number <br /> Owner's Address ��^� 5 1� C,�.�� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��{� LGt�,IC� �-f��J� �—C LOT# � <br /> SUBDIVISION � � PARCEL ID� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP�SED B NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTI�N Q BLOCK Q FRAME Q STEEL � <br /> DESCRIPTION OF WORK --�—'''l',� � � �b'UJCv � O <br /> BUILDING SIZE � S61 FOOTAGE� HEIGHT <br /> OBUILDING 3 VALUATION OF TOTAL CONSTRUCTION <br /> LECTRICRL $ �� AMP SERVICE ��rv �ROGRESS ENERGY Q W.R.E.C. <br /> _� <br /> OPLUMBING a � �,� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� �� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER �(l� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO l <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r— <br /> ELECTRICIAN COMPANY 'f"�(�/'cJ �t�i S�j ���--lL°L vC C <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address J Eitit, License# F G'' �U Z-�70 � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREP Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# � <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 construcGon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles 8 1 dumpster;Site Work Permit for subdivisionsAarge 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. Requfred onsite,Construction Plans,StoRnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpste�.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PRiOPERTY SURVEY required for all NEW constructlon. <br /> DirecNons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notil�e of Commencement ia requlred. {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 P�RMITTING (Front of Applicatlon 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 />