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s�s-�eo-oozo City of Zephtyfiills Permit Application ,.��1 Fax-813-780-0021 <br /> Building Department ° % � <br /> .� > <br /> . ��/�� <br /> Date Received � phone Contact for Perli�ittin � ��J d -- �U � <br /> �.-= <br /> Owner's Name v � r^ � � �1 Owner Phone Number <br /> � � IC F h� �/ <br /> Owner's Address � 3 Z-3 �� ��'�� � N Owner Phone Number � �� �g � '4�j <br /> Fee Simpie Titlehoider Name Owner Phone Number C <br /> Fee Simple Titleholder Addresa __ - <br /> JOB ADDRESS � � 1� �--�3� ✓� G _ 1 1 F '��S � LOT# � <br /> _ � <br /> SUBDIVISION P�ARGEL ID# , <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 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 � ' <br /> CDESCRIPTION QE� �S O � � � ( ��IL�1� <br /> BUILDING SIZE �-� SQ FOOTAGE , HEIGHT � <br /> �BUILDING 1 $ Q�1 VALUATION OF TOTA CONSTRUCTION <br /> -.,�,._- ' V <br /> QELECTRICAL $ AMP SER�CE Q PROGRESS ENERG -- -- dAI.R;E.0 <br /> i � <br /> QPLUMBING $ ! � <br /> � ` � <br /> t ��� <br /> OMECHANICAL $ ION OF MECHANICAL INSTALLATIO <br /> � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � BUILDER , �/f/� COMPANY ' �n �� <br /> tS NATURFi� G�� `'' " REGISTERED Y/ N FEE CURRE� Y/N <br /> \. � �~ <br /> � Address License# C <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address l.icense# 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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles 8 1 dumpster;Site Work Permit for subdivisfons/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Pians 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. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new proJects.All commercial requirements must 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&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over ETS00) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon 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 />