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s�s-�eo-oazo City of Zephyfiills Permit Application Fax-813-�6Q-0021 <br /> Building Department <br /> Date Received phone Cantact for Permittin �( -- � ' ' <br /> r� �9-ti- <br /> Owner's Name y r �v P Owner Phone Number <br /> Owner's Address � 7� `t � .0/� ir e a✓ R Uwner Phone Number �� � <br /> Fee Simple Tittehvlder Name Owner Phona Number �- � <br /> Fee Simple Titiehalder Addrass <br /> JOB AdDRESS Lt1T� ��� <br /> SUBDMSItJN � � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 AD[?lAI.T � SIGN Q Q DEMQLISH <br /> INSTALL REPAIR <br /> PRt?POSED USE Q 5FR Q GQMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK -? �`- � ' ��- � <br /> 8Ui1.DING SIZE � � SQ FpOTAGEC____� HEIGFlT �� � <br /> D���L����' � � VA�UATION QF TC7TAL GONSTRUCTlO[U <br /> ��� <br /> QE�ECTF2lCAL ��� AMP SERVICE Q PRQGRESS ENERGY Q W.R.E.C. <br /> QP�UMSING � � a„ t <br /> � '��11 <br /> QMECHANiGAC $�j � � VALUATI�N aF MECHA►ViCAL INSTALtATfQN � � <br /> C ¢ �•-�'�v <br /> QGAS [� l200FING Q SPEClALTY � OTHEFt <br /> FINISHED FLOOR ELEVATIONS � � FLOOp ZONE AREA QYES NO <br /> BUi�DER COMPAPlY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# � � <br /> ELECTRlCIAN COMFANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> _,_.__._.,,. . �icense# � � <br /> Addres�s <br /> PIUMBER �-� COMPANY <br /> SIGNATURE �� REGISTEREO Y/ N FEE CURRE� Y/N <br /> Addr�ss �icense# �- � <br /> MECHANICAL � Ct}MPANY i t ''v �Gt.:c. � <br /> SIGNATURE .^"�"�'-�� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � �icense# C r�' ""'� � <br /> �fiHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address Eicense# � � <br /> R�5t0ENT1Al Attach(2}Piot Plans;{2)sets of Buliding Plans;{1}set af Energy Forms;R-Q-W Permit for new canstruction, <br /> Minimum ten(10)working days after submittai date. Required onsite,Construction Pians,Stormwater Pians wi Sitt Fence instafled, <br /> Sanitary Fadlitfes&1 dumpsker;Site Work Permit for subdivisionsAarge praJects <br /> COMMERCiAt Attach{3}complete sets of Buiiding Ptans pius a Llfe Safety Page;(1)set of Energy Forms.ft-O-W Permlt tor new canstrvction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Ptans,Stormwa#er Pians w/Siit Fence instailed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new projects.All cnmmercial requirements must meet campliance <br /> SlGN PERMiT Attach{2}sets af Engineered Plans. <br /> "«•PROPERTY SURVEY required far all NEW constructfon. <br /> QiteCtions: <br /> Filt out appltcatlon completely. <br /> Qwner&CanUactar sign back ot appficatian,nota�fzed <br /> If over i2500,a Nattce of Gommencement is regulred. (AlC upgrades over l7500} <br /> •• Agent(for the contractor)or Powef of Attomey 4for the owner)would be someone with notarized letter from owner authoHzing same • <br /> OVER THE COUNfifR PERMITTING (Front of Application Ore�r} <br /> Remofs if shingies Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-tVot over Counter if on public roadways.�needs ROW ° '' <br />