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813-780-0020 City of Zephyrhitis Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Recelved Phone-Contact f r Permtttln — <br /> � ` / I <br /> Owner's Name �l�[ 5 ��` r/ �� � S Owner Phone Number <br /> Owner's Address ��o � � ���Q_ Owner Phone Number <br /> . <br /> Fee Simple Titleholder Name Owner Phone Number <br /> I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/A Q SIGN Q Q DEMOLISH <br /> INSTALL e REPAI <br /> PROPOSED USE Q SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME� Q STEEL Q <br /> DESCRIPTION OF WORK o2-0 �Clh� /� C � � . <br /> BUILDING SIZE SQ FOOTAGE��. HEIGHT <br /> i <br /> QBUILDING $ VALUATIO OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ �-- � VALUATIO OF MECHANICAL INSTALLATION <br /> oz-d 5crd. <br /> FINISO FLOOR ELEVATIONS� ROOFING 0 FLOOD Z NE� OTHER YES NO <br /> 0 <br /> BUILDER COMPANY <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> �►ddress I License# <br /> ELECTRICIAN I � <br /> COMPANY ��j �(C�cj �"� <br /> SIGNATURE � ReGlsrEttED Y/ N FEE CURRE� Y/N <br /> Address I Llcense# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y!N " <br /> Address I License# <br /> . <br /> MECHANICAL /�� COMPANY /�S.s�. C�c�� <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� /-N� <br /> Address I License# r �. <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N. <br /> Address I License# <br /> RESIDENTIAL• Attach(2)Flot Plans;(2)sets of Building Plans;(1)set�of'Energy Forms;R-O-W Permit for new construcUon, <br /> Minimum,ten(10)working days after.subrtiittal date. R�equired onsite,Construction Plans,�Stortnwater Plans w/Sllt Fence instailed, <br /> Sanitary FacillUes.&1 du_mpster,,Slte Wor1c Permit for subdivisions/large proJects <br /> COMMERCIAL Attach(3)complete sets of Buiiding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new consUuction. <br /> Minimum ten(10)working days after submittal date. Requtred onsite,ConsUuction Pians,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facili8es 8 1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered•Plans. _ <br /> ""PROPERTY SURVEY required for all NEW constnfcUon. <br /> Dlrections: <br /> Fill out applicaUon completely. <br /> Owner 8 Contractor sign back of applicaUon,notarized <br /> If over 52500,a Notice of Commencement is requlred. (A!C upg�ades over ST500) .. <br /> " Agent(for the contractor)or Power of.Attomey(for••the.owner)would'be sofneone with notarized letter from~owner authorizing same y <br /> DVER THE COUNTER PERMITTING �� (Front�of.Application.Only); ' ;�•°,; �''� ' � - � ° ��� , � <br /> Reroofs if shingles Sewers Service.Upgrades.A%C��-,�; Fenoes'(FIo.U$qrvey/Footage) '� � ' � ' • -, :, <br /> , , , .. ' `i,:;,``...'�- 1 ,� ' - - , , ,. � . <br /> Driveways-Not over Counter if on publ�c_roadways:.needs ROW�•-•�•���•*����_-� � ��� � ' � '��� � ' ` ' � <br />