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� � a�saso-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> �' �,�;r Building DepaAment <br /> � <br /> ' Date Received phone Contact for Pertnitting <br /> -rIT�- -- <br /> Owners Name ///D�D.� S ����LL Owner Phone Number <br /> Owners Address `y' �w � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address � <br /> JOBADDRESS S � � UE � J LOT# � <br /> I <br /> SUBDIVISION PARCEL IDl� ' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CoNSiR e ADD/ALT � SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR �� COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK G � � f l/" <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> TI"1'T' �T <br /> QBUILDING $ VALUATION OFTOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE ' 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � I� �� Y <br /> �MECHANICAL $ O, i VALUATION OF MECHANICAL INSTALLATION � � <br /> � � �� � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO I <br /> �-�--.�5-�' '.�.����::'-.-:-r��:+�.--•--.-i-��L.'� 'I' �.--•--.-.-�5-:�.�.�..r.�..-.�.-.-.�-r�.�.-r� <br /> .+I <br /> I <br />� BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN � COMPA IY � ���N� <br /> SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> i SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPAI Y (o L7l�/ S�/(UI CLS <br /> SIGNATURE REGISTERED Y N FEE CURRE� Y/N <br /> i �/�� <br />' Address � E O�U(.� /i"� License# /7L.(/ <br /> OTHER COMPANY <br /> ISIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 I 1 I 1 1�1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permi[for new construction. <br /> Minimum ten(10)working days aker submittal date. Required onsile,Construction Plans,Stortnwater Plans w/Silt Fence inslalled, <br />� Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. i <br /> ""PROPERTY SURVEY required for all NEW construction.� <br /> ..i-1..1..1-G�...r�l.-�1-.4�1.-�C�..r..�1-1�1.-FI-.4�1.-4�F-i-'.+�..+-1-�F' • .--r.--r�4�1.-4�5�.-.� <br /> Directions: <br /> Fill out applicaGon completely <br /> Owner&ConVactor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades'over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for lhe owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicalion Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counler if on public roadways..needs ROW ' <br />