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813-78U-0020 City of Zephyfiills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 3��'^rL Phone Contact for Permittin 3 ���/ __ �,S1CO <br /> Owner's Name '. �9 � S +'� /�19N� Owner Phone Number 7��� <br /> /, <br /> r �Owner's Add e ���� �O�.SO�`7 � Owner Phone Number <br /> Fee Simple T eholder e �"�� Owner Phone Number � <br /> �._.. <br /> Fee Simple Titleholder ress v +' <br /> JOB ADDRESS .S-� O SQ 6�l< � r / LOT# �� <br /> SUBDIVISION PARCEL ID#�S�!��` `OI� � � G�— D��� <br /> (OBTAINED fROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONS7R 8 ADD/ALT (� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR �T <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> �TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK / � � /i��-c S ��✓ Zv /�c,d <br /> BUILDING SIZE � ���� SQ FOOTAGE� HEIGHT �� <br /> QBUILDING $ ��/, � VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �( I �/� � � <br /> QGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES 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 �� � /l�'� <br /> SIGNATURE REGISTERED I N FEE CURRE� Y/N <br /> Address 0 � � �Y-sl �'L.�L���'/ �icense# ��S,•JS1S <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding 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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work 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 8 1 dumpster.Site Work Permit for all new proJects.All commerciat requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •""PROPERTY SURVEY required for all NEW consVucBon. <br /> Directfons: <br /> Fill out application completely. <br /> Owner&Contractor 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 />