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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Reaeeived � - _ /� phone Contact for Permittin _ <br /> Owner's Name QQ� l��/(/r Owner Phone Number <br /> Owner's Address ` �� 1 Z Owner Phone Number � <br /> Fee Simple Titleholder Name r -� Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � I�U����I�-'� S� LOT# � <br /> SUBDIVISION ����1� � L l�L� PARCELID#� �� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CONS7R� ADD/ALT � SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q � <br /> DESCRIPTION OF WORK }�/JD��- i-�I/�� �() S�/.�v'Cf� '7 Z' `� ��GA�- <br /> BUILDING SIZE � -� S(�FOOTAGE ��� HEIGHT <br /> OBUILDING $ �� VALUATION OF TOTAL CONSTRUCTION <br /> �, D�, <br /> QELECTRICAL $ AMP SERVICE � PROGRE�SS-E1�cIERGY Q W.R.E.C. <br /> QPLUMBING $ �~r <br /> QMECHANICAL $ VALUATION OF MECHANICAL INST LLATIO � �" � <br /> �j _--- - <br /> OGAS [�� ROOFING Q SPECIALTY 0 OTHER�`'�. � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 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 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER � /� _ COMPANY �f}✓/.V /�'f7�/k�G� <br /> 31GNATURE �`-- REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � � T. 1 3�3 � �1� (� License# �C����,1 yl <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. Requfred onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflitles 8 1 dumpster;Site Wor1c 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 Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Conshuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflities&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 requtred for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Cont�actor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (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 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 />