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813-780-0020 City of Zephyfiills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �,� _�j.r�a�L�. phone Contact for Permittln �� 3�5 -- i/9S <br /> Owner's Name V,�GGE d Af,E �p0 ftssv�igno.� �.✓e Owner Phone Number 8�3'7s2 6�8 <br /> Owner's Address „�j 7 I�yQr/�✓d A(•E ,QI/&. Z//'/lL�j� Owner Phone Number r— <br /> Fee Slmple Titleholder Name /V.�, Owner Phone Number <br /> Fee Slmple Titleholder Address ,Y��• <br /> JOB ADDRESS 3750� n�,sRn.✓�� �vE. �g�ccy�,�� �N.P �or a C� <br /> SUBDIVISION YAC�yd,19'LE PARCEL ID# D� Z�i Z/-60000-�ff�Q/QO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B 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 /> DESCRIPTION OF WORK K F�LACE Lt�fi✓.QOkJS 11/ '(�par�/r!�GAG S��QL �Qd.i/`j"S <br /> BUILDING SI N".L�. E�(/577�' gq FOOTAGE� HEIGHT �� <br /> BUILDING $9� ODd �� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ��, <br /> N,A• <br /> QMECHANICAL a ./ n � VALUATION OF MECHANICAL INSTALLATION ,�,� ��(�} <br /> /V•fr �� <br /> �GAS Q ROOFING Q SPECIALTY [� OTHER <br /> FINISHED FLOOR ELEVATIONS , /� FLOOD ZONE AREA �YES NO <br /> N <br /> h " <br /> B I DER,� . �ii� COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 39038 u���L e�R. Z N1LG-s��PL ,3,3 5�2 �icense# <br /> ELECTRICIAN Q COMPANY <br /> SIGNATURE � �7• REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER �� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# � � <br /> MECHANICAL ,�/ /� _ COMPANY <br /> SIGNATURE '� � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> OTHER �� . COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# � <br /> RESIDENTIAL AtNach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Mlnimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGllt(es&1 dumpster;Site Work Permit for subdfvlslonsllarge 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 Facilitles&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 requlred for all NEW constructlon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement ia requtred. (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 Appllcation 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 />