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� ; <br /> 813-780-0020 City of Zephyfiills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Rec�ived ,���j Phone Contact fo�Permitting -- <br /> Owner's Name � ��Y ;-tS �-'�� Owner Phone Mumber <br /> Ouxner's Address 5S Z � �� s � Owner Phone Number <br /> Fee Simpte Titleholder Name Owrner Phone Number <br />, Fee Simple Titieholder Address <br />�I JOB ADDRESS LOT# � <br /> SUBDIVISION � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORIC PROPOSED e INSTALLSTR B REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE ' Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �e �°� � Re Q«� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ S 7UV VALUATION OF TOTAL CONSTRUCTION � <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� <br /> �� . <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ?j�� <br /> l � <br /> GAS ROOFING SPECIALTY OTHER � <br /> � 0 0 0 <br /> FIfVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � ��� �COMPANY � '�.vlN�I`C__1��-- <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGRfATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I 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 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <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. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 81 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMIMERCIAL Attach(3)complete sets of Building Plans pius a Life Safety Page;(1)set of Energy Forms.R-0-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 PEE2MIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directlons: <br /> Fili 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�7500) <br /> •' Agent(for the contractor)or Power of Attomey(for the owner).would be someone with notarized letter from owner authorizing same <br /> O!!ER THE COUNTER PERMITTING:'.':'�::(Front of Application Only); �. <br /> Reroofs if shingles Sewers, ' 'Senrice'Upgrades A/C Fences(Plof/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW... .. • . <br /> • <br />