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813-780-0020 City of Zep yrhills Permit Application Fax-813-780-0021 <br /> uilding Department <br /> Date Received � Phane Goo ct for Permitfing — <br /> Ctwner's Name t�GU �i+l.' A �it '�^' Owner Phone Number " ���`( Q� � <br /> 1 b <br /> Owner's Address � � L /� Owner Phone Number �^ <br /> Fee Simple Titleholder Name Owner Phone Number �^ � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � LOT# � <br /> SUBDIVI$ION � � P CEL tD# _ ____ <br /> �--_-. -- --- " - °- `— - .--` --~""'-- — -� (OBTAINEDFROMPROPERTYTAXNOTICE) <br /> WORK PROPOSED NEW CONSTR� A D/ALT � SIGN Q Q DEMOLISH <br /> INBTALL ,/0 R PAIR <br /> PROPOSED USE SFR [� l, MM 0 C}TF4ER � <br /> 7YPE OF CONSTRUCTION BLQCK Q F ME � 57EEL Q <br /> DESCRIPTION OF WQRK � �°js ` / ' � ��'' �°� <br /> BUILDING SIZE � � SQ FOOTAGE HEIGHT <br /> 08UILDING �_� VALU ION OF TOTAL CONSTRUCTION <br /> QELECTRtCA� �—� AMP S RVICE � PROGRESS ENERCaY [� W.R.E.C. <br /> QPLUMBING � �„ <br /> [�MECHANtGA� $ 7��, �-� VALtl 14N OF MEGHANICA�INSTA�LATIORI J,� 1/�� <br /> _i lk <br /> [�cas Q ROOFING Q S ECIALTY �� C}TNER �r�'�'�°j� <br /> FINISHED FLOOR ELEVATIONS F OOD ZONE AREA QYES NO � <br /> BUILDER COMPAMY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/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 F'EE CURREn Y/N <br /> Address License# �— � <br /> MECHANICAL � COMPANY �f/V'�� G�r'- f�-" <br /> SIGNATURE � .���y REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# �J �— � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt� Y/N <br /> Address License# � !� <br /> RESIDENTIAL Attach(2}Ptot Plans;(2)sets of Buitding Ptans; 1}set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal d te. Required onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Factlities&1 dumpster;Site Work Pe it far subdlvisions!large projec#s <br /> COMMERCiAL Attach(3)complete sets of Buitdi�g Pians pius �ife Safety Page;(1)set of Energy Forms.R-Q-W Permit for new construcfion. <br /> Minimum ten(10)working days after submittal d te. Required onsite,Constructian Plans,Stormwater Plans w/Silt Fence installed; <br /> Santtary Facitities&9 dumpster.Site Work Pe 3t far all new p�ojects.Ali commerciai requirements must meet comptiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "*"PROPERTY SURVEY required for all NEW nstruction. <br /> Directions: <br /> Fill out application completely. " , <br /> Qwner 8�Contractor sign back of applicafion,no#arized <br /> If over$2500,a Notice af Commencement is required, (AI upgrades over$750Q) y <br /> *' Agent{for the contractor)or Pawer of Attomey(for the awner} ,ould be sameone with notarized tetter from owrser authorizing same ,•_-` � t <br /> 4VER THE COUNTER PERMITTING � (Front of,Appl'ica'tion�0�ly)` " " °���°-�`° �''"°• �-° "' '��-- <br /> Reroofs if shingles Sewers Service Upgrades A(C. �,ences{PlotlSurvey/Footage) � ' ` , ' « � <br /> Driveways-Not over Counter ifon public roadways.needs RO ° . � <br />