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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Buitding Department <br /> Date Received Phone Contact for Permittin _ <br /> Owner's Name G1'1 n t��'1 Owner Phone Number <br /> Owner's Address ��� � ��h /'��'T Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS JrS� 2� ���� LOT# �� <br /> SUBDIVISION � PARCEL ID# <br /> �OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONS7R ADD/ALT [� SIGN Q � DEMOIISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM �] OTHER �— <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �� c_G g C �,.�ne�o� ,� � a�..� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT �� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �]ELECTRICAL $ �� „�„ AMP SERVICE �D [� PROGRESS ENERG.� �] W.R.E.C. <br /> � <br /> QPLUMBING $ � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLA ION /7� (fCQ � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> ,. ._�._..�,l'�_. <br /> FiNISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILOER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY ��l7'/! �(�i'G G <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 1 �i�iC �iL'.�� �L 33� License# �,���d d�3�.3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# � <br /> OTHER � COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTtAL 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 Pians,StoRnwater 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 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&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 8 Contractor sign back of appllcaHon,notarized <br /> If over s2500,a Notice of Commencement is required. (AlC 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 Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />