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813-780-0020 City of Zephyrhilis Permit Application Fax-813-760-0021 <br /> Building Department ����� <br /> �ate ReceivecC 9 g'/� 7�Z __ �d�� <br /> Phone Contact for Permittin <br /> Obrner's Wame � v � Ouvner Phone R�umber ���^ 7������ <br /> Oevner's Address �`��� -0 �L V� Owmer Phone Mumber <br /> �ee Sira�ple Titleholder Mame Ovdner Phone Wumber <br /> �ee Sienple Ti4leholder Address <br /> .908 c�DDE�ESS LOT# � <br />' SUBDIbiSIOR� PARCEL ID� <br /> � -- - - — —(08TAIMEO FROM PROPERTY TNCNOTICE) <br /> HNORaC PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH <br /> = . ; INSTALL e REPAIR <br /> �ROP05ED USE Q SFR Q COMM � OTHER <br /> TVPE OF COi�STPtUCTIOR� Q BLOCK Q FRAME � STEEL Q <br /> D�SCRIPYIOM OF WORK Ol �/G� � (/ / �T� <br /> I �UILDIfdG SIZE SQ FOOTAGE� HEIGF9T <br /> �BUILDIMG $ VALUATION OF TOTAL CONSTRUCTIOiV <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS EfVERGY Q W.R.E.C. <br /> OPLUMBIfVG $ <br /> �CHAfVICAL $����0� VALUATIOIV OF MECHANICAL INSTALLATIOfV <br /> OGAS Q ROOFItVG Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> �ui�o�ua co����v <br /> SAGMl�TID�E REGISTERED Y/ N FEE CURRE� Y/N <br /> �ddress License# <br /> EL.ECTRICYAM COM�AfdY <br /> SIG��4Tl�P2E REGISTERED Y/ N FEE CURRE� Y/N <br /> .�ddress License# <br /> PLUfiflB�R CORflPe4il1Y <br /> SlGR1ATUFtE REGISTERED Y/ M FEE CURRE� Y/N <br />� �d�ress License# <br /> � <br /> ��co-���ica� co�n��►r�v �7�2 �S��c� ,��£ ��s e �c .u� <br /> SIGWl�TUFZE REGISTERED Y/ N FEE CURRE� Y/M <br /> �ddress License# Cl�G O �/���� <br /> OTHE92 co�Pe►r�v <br /> $IG�dt47UFZE REGISTERED Y/ M FEE CURRE� Y/N <br /> B�dc�r�ss License# <br /> 6tESIDEWTIAL 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 Facflities�1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COflflRAERCIAL 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&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGid PERf�11T Attach(2)sets of Engineered Plans. <br /> '"""PROPERTY SURVEY required for all NEW construction. <br /> Direc�ions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Idotice of Commencement is required. (AIC 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 TFEE COUtdTER PEtdRAITTIfdG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drivevdays-Not over Counter if on public roadways..needs ROW ' <br />