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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received a • �� • �� Phone Gontact for Permittin '�oZ� -- �s�� <br /> Ouvner's Mame O s?�J( �/"� Ovuner Phone fNumber o��� •�� ' �- �j <br /> �nrner's Address Owmer Phane Rlumber <br /> Fee Simple Titleholder IVame Ovrmer Phone fdumber <br /> Fee Simple Titleholder Address /,�.�� (�C{' , <br /> h �JOB 61DDRE5S (p � � � ^ � LOT� <br /> SUBDI!/ISIOId � �� _ �ARCEL ID# (/J� ��� '�7C � �-��(�(�(��_/�{j�O-,- <br /> � (OBTAINEb FROM PROPERTY TAX NOTICE) <br /> lMORK PROPOSED � NEW CONS7R B ADDlALT 0 SIGfV Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTIOtd Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIOM OF WORK v t7 � , ��� � j � /i-f r �dL �pG <br /> BUILDIMG 51ZE �fd FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> dMECHAfVICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �D� . a?� <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUIl.D�R COMPARlY <br /> SIGtdATURE REGiSTERED Y/ N FEE CURRE� Y/M <br /> Q►ddress License# <br /> ELECYRICIAN COMPAIdY <br /> SIGfd/►,�URE REGISTERED Y/ N FEE CURRE� Y/M <br /> Address License# <br /> P�URflBER COMIPAtdY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> 4lddress License# <br /> /� <br /> MECHANICAL " - COAAPARIY C���iS ��� �rl� <br /> SIGFdATURE REGISTERED Y N FEE CURRE� M ' <br /> Address o�02 �i..� 6 �J � � -�� 3���� License# �� ��5� <br /> OTHER COMPAMY <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> �lddress License# <br /> RESIDEtdT1AL 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)woticing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllit(es&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMIERCIAL Attach(3)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new constructfon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facititfes 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGtd PERf�IIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Motice of Commencement,(s.requi�ed._,,.(6JC upgrades over�7500) <br /> •• Agent(for the conVactor)o�Power of Attomey(for the owner)�wbulii be someone with notarized lette�from ov+rner'authorizing•same�.,,.,.�-.. <br /> , •, <br /> ONER THE COUNTER PERMIIT:TIIdG (Front.of Application:Only),, � .., � . � � '"' -` <br /> Reroofs if shingles Sewers� ` Service Upgrades_A/C � :Fences(PIoUSurvey/Footage) � � <br /> Drivernrays-Not over Counter if on public roadways..needs ROW � " � �' ' '`"' " `�`"` ` • <br />