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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> • Building Department <br /> Date Received <br /> Phone Contact for Permittin �3 2 -- �J <br /> Owner's Name �{ �, C/ a �'(��, ( L7a � � <br /> Owner Phone Number <br /> Owner's Address � � <br /> Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �y aJ� �}� 3a�!�� �Q� a � <br /> LOT� �� <br /> SUBDIVISION PARCEL ID# /.�—.2�p"1 I '��3-(�O S����d ��'a r+f,j�!J t-°aZ� <br /> WORK PROPOSED e (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NEW CONSTR 8 ADD/ALT (�� SIGN <br /> INSTALL REPAIR 0 0 DEMOLISH <br /> PROPOSED USE � SFR Q COMM <br /> TYPE OF CONSTRUCTION Q BLOCK �� OTHER <br /> Q FRAME � STEEL � <br /> DESCRIPTION OF WORK � <br /> BUILDING SIZE SQ FOOTAGE� <br /> HEIGHT <br /> OBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ ,�--- AMP SERVICE �, rj ���� <br /> �Q� I C� �R�GRESS ENERGY � W.R.E.C. <br /> QPLUMBING g ,�' <br /> [�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � I <br /> GAS � � <br /> 0 Q ROOFING Q SPECIALTY pT � <br /> C� HER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> �]YES p <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REG�STERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE G� � � 1" � V/ Ytti- �J(� <br /> REGISTERED Y/ N FEE CURRE� /N <br /> Address �� �,�� J <br /> � License# r L 0�� �� <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> License# <br /> MECHANICAL <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> OTHER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURREA Y/N <br /> Address <br /> license# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buitding 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 Fadlities&1 dumpster,Site Work Permit for subdivisfons/large projects <br /> COMMERCIAL Attach(3)complete sets of Buliding 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 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 consVuction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Nottce of Commencement is required. (A!C upgrades over:7500) <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 AppHcation Onlyj <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> DNveways-Not over Counter if on public roadways..needs ROW <br />