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813-780-0020 City of Zephyr ills Permit Application - FaX-8�aa8o-ooz�/ <br /> Bullding Departrnent <br /> =,. . <br /> Date Receiv�zJ Phone Contact for Permitting -- - <br /> Owner's Idame Owner Phone Number �� � � C�� � <br /> Owners Address ,�� � �� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple T(tleholder Address <br /> JOB ADDRESS J��2� r 3 �� A�� LOT# � <br /> SUBDIVISION PARC L ID# t l " Z j— 2 � " d v� � — � 2 �Q(� ^ r)�g/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/A T 0 SIGN Q_ Q DEMOLISH <br /> INSTALL REPAI <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTIOM Q BLOCK Q FRAM Q STEEL Q <br />� <br /> DESCRIPTION OF WORK I r I <br /> BUILDING 51ZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATIO OF TOTAL CONSTRUCTION <br /> _ ELECTRICAL $ � AMP SERVICE PROGRESS ENER Y <br /> � �'?S M1Q O Q G Q W.R.E.C. <br /> � <br /> OPLUMBING $ <br /> 2� 3 � <br /> QMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION G o;M� b� <br /> OGAS Q ROOFING Q SPECI TY 0 OTHER S�O' <br /> � <br /> FINISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO <br /> BUILDER C MPANY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN C MPANY <br /> SIGNATURE � RE ISTERED Y/ N FEE CU en Y/N <br /> Elddress I License# <br /> PLUMBER C MPANY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL C MPANY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER CqMPANY <br /> SIGNATURE RE ISTERED 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 constructlon, <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instatled, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for s�bdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Mintmum ten(10)working days after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.-Site Work,Permit for a I new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. � � " <br /> "'*'PROPERTY SURVEY required for all NEW constru�Uon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgr des over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for-the owner)would be someone with notarized letter•from owner�authtlriiirig,same:���"�� <br /> � �. = - �. .., � .� _. . • � <br /> OVER THE COUNTER PERMITTING ,� - (Front,of.Application"Only) � , , ,- " ' ' , i <br /> Reroofs if shingles Sewers' Service Upgrades#A/C� ' �Fer�c,es(PIoUSurvey/Footage) ' , ,„_ • ., _. _ ' " , , ? <br /> -- - , . ., � �-g ''',• � - .. � �• i <br /> Driveways-NotoverCaunte�ifonpublicroadways::needsi6t01N--.�; ••� _�� •r�--�- •-�•�•� -° � """° �F"""'��"�'j3" <br />