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s�s-�so-aozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department . <br /> � - <br /> Date Recelved - <br /> Phone-Contact for Parmittin <br /> t , <br /> Owner's Name r G-�-�L f GtT G<� Owner Phone Number <br /> Owner's Addres� .s � � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Rhone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 'dS l LOT# � <br /> � <br /> SUBDIVISION PARCEL ID# <br /> I (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK � Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �l.J �l 1.� �-- � r 1 J C¢C e ,.v�"�. <br /> BUILDING SIZE SQ FOOTAGE �� / HEIGHT C� / <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ �� � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � " <br /> . � <br /> OGAS Q ROOFING Q SPECIALTY I�] OTHER 1 2 � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER — COMP� � C,G.� �— �� � C� <br /> SIGNATURE REGISTERE i � / N FEE CU E� Y/N <br /> Address `�'�o,v(G � PS �/� License# <br /> ELECTRICIAN COMP� <br /> SIGNATURE �' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMP.� <br /> SICsNATURE � ' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMP� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPAN <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# <br /> RESIDENTIAL Attach(2)Flot Plans;(2)sets of Building'Pians;(1)set ofEnergy�Fortns;R-O-W Permit for new construction, <br /> Minimum:ten_(10):working�days after.submittal date. Required'onsite,ConsUuction Plans;Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes-&1,dumpste.r,Slte Work:Pertnit for su6diVisionsflarge pro)ects <br /> COMMERCIAL Attach(3)complete sets of Buildirig Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new consUuction. <br /> Minimum ten(10)working days after submittal date. Required'onsite,ConstrucUon Pians,Stortnwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities&1 dumpster.Site Work Permft for all new projects.All commercial requlrements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. � � <br /> ••••PROPERTY SURVEY required for all NEW construction. <br /> - _ <br />, Directlons: , <br /> Ffll out applicatlon completely. <br /> Owner&Contractor sign back of appl(cation,notarized <br /> If over�2500,a Nottce of Commencement is required. (A!C upgrades over 5T500) <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,App6lication.Only)"�.�.,�"' <br /> Reroofs if shingles Sewers ': Service Upgrades,A%C; ' Eenbes(PIoUSurvey/Footage) <br /> �'. . � - � - , <br /> Driveways-Not over Counterif on{public roadways..needs ROW..::,��� b <br /> y.� .. .., ..-2�.n ..-��.,,-.. ,.. � . .� ,�.-. <br />