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. aisaso-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received �Ja`J 3� <br /> Phone Contact for Pertnitting <br /> TTTTIT 7 <br /> Owner's Name Owner Phone Number � '" / / <br /> Owner's Address V Owner Phone Number <br /> i Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS (� � V LOT# �Z <br /> SUBDIVISION �S PARCELID# r�I-D O (�L.V-O O'tJ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CONSiR ADDlALT 0 SIGN Q Q DEMOLISH <br /> e INSTALL � REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ����I I��f / <br /> BUILDING SIZE SQ FOOTAGE �V HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � �� I, <br /> � �� <br /> �{v1ECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> r <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> I �-..-r�:..i-:...�..-..-��..-.�:--i ..-.��......r...r�...r....��: ..-r� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA 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 FEE CURRE� Y/N <br /> IAddress License# <br /> C C <br /> ME HANI AL COMPANY � <br /> SIGNATURE / REGISTERED Y FEE CURRE� Y/N <br /> Address �. License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consWction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit 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 construction. <br /> -i-F-.-.-..-rl.a--F-1-�'•--..-r..-r..-r�..-r..-r�..-r..-r�1-.4�1.-FI.-4�1-�' ...�.-r.-.��4-F� <br /> Directions:• <br /> Fill out application completely <br /> Owner&Contractor sign back of applicaGon,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />