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813-780-0020 City of Zephyfiills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin - <br /> Owner's Name �O d Q O .�Z Owner Phone Number <br /> Owners Address S � � /,1, ,l'/ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S 3 3 Z l T . S'i LOT# � <br /> SUBDIVISION � � PARCEL ID# �� Zlv -�/� �o/D � �J Od- a��G <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED WSTALLSTR 8 REPAIR L� SIGN Q Q DEMOLISH <br /> PROPOSED USE SFR Q COMM [� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �G f O f f L° A�/'� L�/`�� lo .� (O� �v r G./f�/�� !�� <br /> BUILDING SIZE � SQ FOOTAGE D � ( HEIGHT � � <br /> �BUILDING $ l �� �� VALUATION OF TOTAL CONSTRUCTION <br /> / <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING a �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (�� <br /> � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER `�.�+ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> BUILDER / / COMPANY SC v �fjc/ G'G-� Cv ir� C <br /> SIGNATURE ��� � REGISTERED / N FEE CURRE� 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 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit fo�new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilides 8 1 dumpster;Site Work Permit for subdivisionsRarge projects <br /> COMMERCIAL Attach(3)complete sets of Buiiding Plans plus a Life Safety Page;(1)set of Energy FoRns.R-O-W Permit for new construcdon. <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 consUuctlon. <br /> Directions: <br /> Fill out appliption completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over t2500,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 AppUcation 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 />