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813-780-0020 City of Zephyrhilis Permit Application � J ��ax-813-780-0021 <br /> Building Deparlment (�'� � � <br /> 7.1� <br /> Daf'�Received t � � � �I� <br /> Phone Contact for Permittin <br /> Owner's Name �CRI�r.�l. ,�,{• r G�� ��� ' ��,• Owner Phone Number �z��7v-�?�c°.-- ��"77� <br /> Owner's Address �� `1' Owner Phone Number � � <br /> 3� r.� <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS ��C'k.,Py �r�E'_'•r Z`l-�i/�.S ,I LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED F�pROPERTY T�T►cel DEMOLISH <br /> WORK PROPOSED NEw CONSTR ADD/ALT �_] SIGN <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR [� COMM � OTHER �— <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � � <br /> DESCRIPTION OF WORK ��°'��r 2 �Y/inr-C.� � --_ <br /> BUILDING SIZE —� 3Q FOOTAGE J�i^`'° HE T <br /> OBUILDING $ ! �� ? s'G n`.� , <br /> VALUATION OF TOTAL CONS UCTION c i <br /> [�ELECTRICAL $ AMP SERVICE PROGRESS E Q .R.E. <br /> � �, <br /> QPLUMBING $ �,,����d� <br /> ' G /��,�,,� //�. <br /> MECHANICAL �S � /� <br /> � $ VALUATION OF MECHANICAL INSTALLATION ����h�� �V' <br /> �� �� �� <br /> OGAS Q ROOFING SPECIALTY ! � ����lS-�3 <br /> O � OTHER �����r ����� �(a� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> � � <br /> ,�� �z( <br /> SIGNATURE �-%� �� _ � � ��r COMPANY �j}]C. ! �iJ C,r tiS�' �!�C . <br /> REGISTERED Y/ FEE CURRE� Y/N <br /> Address License# C <br /> ELECTRICIAN v /J <br /> i COMPANY �//•✓� ��i <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address {�rD �3S � License# �(� l3 0 O/.3�3 <br /> t J�( /� <br /> S G AB URE � � �J��"" ' COMPANY �C' l -f (�� Z <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> �t� t�'`� - ll t <br /> MECHANICAL �c!� � COMPANY <br /> SIGNATURE ��'' REGISTERED Y/ N FEE CURRE� Y 1 N <br /> �1 3-7�-b�r2� <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 Pians;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes 8 1 dumpster;Site Worlc Permit for subdivisionsAarge 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 consVuction. <br /> Directions: <br /> Fili out application completely. <br /> Owner&Contractor sign back of application,notartzed <br /> if over 52500,a Notice of Commencement is requlred. (A!C upgrades over E7500) <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 ApplicaUon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />