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aiaaeo-oozo City of Zephyrf�ills Permit Application Fax-813-780-0021 <br /> Buil ing Department <br /> , r <br /> `'�ate Received Phone Contact for Permittin� -- <br />� <br /> Owner's Id°ame • d' DL�� 5 L� Oarner Phone tdumber � �`���"-'/0�d <br /> Owner's�4ddress �SLG L 6�5 'i� L O�nmer F'hone Idumber � <br /> Fee Simple Titleholdee tdaone Oenrner Phon�fNumber <br /> Fee Simple Titleholder/4ddress <br /> JOB ADDRESS � I C? Tk LOT# � <br /> SUBDINISION PE►RC L IDt� <br /> (OBTAIMED FROAA PROPERTY TAX IdOTICE) <br /> WOEZG(F'EtOPOSED NEW CONSTR ADD/f}LT � SIGfV � Q DEMOLISH <br /> INSTALL B REPAiR <br /> �EiOPOSED U�E Q SFR Q COfl�M 0 OTHER <br /> �PE OF COMSTFtUCTIOid Q BLOCK Q FRAM�E 0 STEEL Q <br /> DIESC�tIPTIOId OF H!lORdC �� <br /> BlDlLDIfdG SIZE SQ FOOTAGE HEIGHT <br /> UILDING $ f i�rv `/ VALUATION OF TOTAL CONSTRUCTIOM <br /> QELECTRICAL $ AfiAP SER ICE 0 PROGRESS EfVERGY 0 W.R.E.C. <br /> OPLUMBING $ <br /> OMECHAIVICAL $ VALUATI N OF MECHAfVICAL INSTALLATION <br /> QGAS Q ROOFING Q SPE IALTY � OTHER <br /> FIfVISHED FLOOR ELEVATIONS FLO D ZONE AREA �YES NO <br /> BUILDER OMPAIdY � f' f� ���� �L rrc7fi�Q 5 <br /> SlGfdeOTURE EGISTERED Y/ N FEE CURRE� Y/N <br /> �+ddr�ss License# <br /> ELECTEtICIAN �OiVIPA1dY <br /> SIGtdATURE EGISTERED Y/ M FEE CURRE� Y/N <br /> Address License# <br /> PLUiNE�ER OMIPAIMY <br /> SIGfdATURE EGISTERED Y/ N FEE CURRE� Y/fV <br /> �4ddress L(cense# <br /> RfIECHANICAL �OAAPAfdY <br /> SIGWATUFtE I EGISTERED Y I N FEE CURREA Y/N <br /> Address License# <br /> I <br /> OTHER COAflPA1dY <br /> SIGfdAFURE REGISTERED Y I IV FEE CURRE� Y/N <br /> �lddress License# ___ <br /> EtESID�tdT1AL 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)worlcing days after submittal date.l Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COflAAAERCIAL Attach(3)comple4e 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.l Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGfd PERMIT Attach(2)sets of Engineered Plans. <br /> ••°•PROPERTY SURVEY required for all NEW con truction. <br /> Direc4fons: <br />'� Fill out applicatlon completely. <br /> Owner&Contractor sign back of application,nota�ized <br /> 9f over S2500,a Motice of Comm�ncement(s required. (PJC u grades over a7300) y�, ., ,�,,:a,.,,_ .,. ,_ . _ ,,__„,.,. <br /> `" Agent(for the contractor)or Power of Attomey(for the owner)wou d be someone with notarized letter from owner'authorizing same`�<:�;�•. : <br /> ; , ' - = . .-3. <br /> OVEEt TFiE COUIdTER PERMIITIMG (Front of Application Oniy) ; � ,;, �- �� <br /> Reroofs if shingles Sewers Service Upgrades A/C Fen es(Plot/Survey(Footage) ' _ , _, , , -� �. ., � <br /> .. ��v�� Y.v. >Jt r��✓._»n rv.a�rt r� .i* �:�, tA.^fi� <br /> Driveways-Not over Counter if on public roadways..needs ROW , <br />