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$���s�zo City of Zephyrhilis Perm;t Application Fax-813-780-0021 <br /> � � Building Department <br /> Date Received �,•Z'• � Phone Contact for Permittin ��� �C�2 -v 2 V <br /> � �7'� � � � � - .^ .. r.� �,9,.� <br /> Owners Name VV 1 f• ( u ( IOwner Phone Number <br /> �S I1�^i. � Ve l)n� ` <br /> Owner's Address ���^Owner Phone Number <br /> � <br /> Fee Slmple Titleholder Name ��wner Phone Number <br /> Fee Slmple Titleholder Address I <br /> JOB ADDRESS � �rtY LOT# � <br /> SUBDIVISION PARCEL ID# �2�C}�'C�I-OJU�'�/ - O � <br /> I (OBTAINED FROM PROPERTY TAX NOTICE) � �'. <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN 0 0 DEMOLISH � <br /> INSTALL REPAIR I i <br /> PROPOSED USE Q SFR 0 COMM � OTHER I <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME STEEL 0 � <br /> DESCRIPTION OF WORK 1 I <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ C�� d� VALUATION OF TOTALICONSTRUCTION <br /> �..J <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS 0 ROOFING Q SPECIALTY QI OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AR i DYES NO <br /> BUILDER COMPANY Y � <br /> SIGNATURE �_ `' REGISTERED N FEE CURRE� N <br /> Address � � � � h�(�J �'�-�� 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 t�E curtrt�n Y/N <br /> Address License# <br /> IIIIIII11111111111111111111111111111111111111111111111t111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Build'mg Pians;(1)set of Energy Forms;R-O-W Permit for new consUuction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facildies 8 1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page�(1)set of Energy Forms.R-O-W Permit for new consVudion. <br /> Minimum ten(10)working days after submittal date. Required onsfte,Construdion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpstec Site Work PermR for all new pmjeds.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERIY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application completety <br /> Owner&Contractor sign back of application,notar¢ed <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades overl$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorrzing same <br /> OVER THE COUNTER PERMIITING (Front of Application 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 />