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_, � 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building DepaAmenl <br /> Date Received � <br /> Phone Contact for Permitting -- %��/��_ <br /> 7-t7 I I 1-��� ---- - ---- � �1-�-1-1 �/' __ lY <br /> � 1�, � C �i( 1?�" �' � ,1� <br /> Owner's Name Owner Phone Number �'L <br /> -� /'��( <br /> Owner's Address �� r . l,(�L} Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee S)mple Titleholder Address I <br /> JOB ADDRESS I�I � � � � .'S 1/ �; S Y LOT# � �I <br /> SUBDIVISION PARCEL ID# I I <br /> (OBTAINED FROM PROPERTY TA7(NOTIGE� <br /> WORK PROPOSED NEW CONS7R ADD/ALT ,V� SIGN � Q DEMOLISH I' <br /> e INSTALL e REPAIR I <br /> PROPOSED USE � SFR COMM OTHER i <br /> TYPE OF CONSTRUCTION Q LOCK � FRAME � ST � � � <br /> DESCRIPTIONOFWORK C C TQ C7/lm��\" � f 'r� <br /> i` <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> �BUILDING $ Q��j' VALUATION OF TOT I L CONSTRUCTION �1Mr <br /> DELECTRICAL $ � �= AMP SERVICE � PROGRESS ENERGY 0 W.R.E.C. !J� 1 � <br /> C �1.� <br /> - -- - �PLUMBING $ �DD�� Q ^� <br /> ��MECHANI�AL $ �ry� ,�{) VALUATION OF MEC�IANiCAL INSTALLATION Q <br /> ��GAS Q OOFING � SPFCIALTY L� OTNER � <br /> FINISHFD FLOOR ELEVATIONS FLOOD ZONE Ai EA �YES NO <br /> u <br /> BUILDER �r '/(.�,�,� ^ COMPANY OW ^ <br /> SIGPl,4TURE L��YlQ REGISTERED Y 1 N FEE CURRE� Y/N <br /> Address L License# <br /> ELECTRICIAN � � COMPANY (/� �, <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address L License# <br /> PLUMBER COMPANY D�V ^ <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y(N <br /> Addrass License# <br /> MECHANICAL �� ��` COMPANY L� <br /> SIGNATURE j/ REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 I 1 1 1 1 1 I 1 1 1 1 1 1 1 I 1 1 1 1 1 f 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 Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Faciiities&1 dumpster,Site Work Permit for subdivisio�sAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Forms.R-O-W Pertnit for new construclion. <br /> Minimum len(10)working days after submittal date. Required oir.site.Construction Plans.Stormwater Plans w/Silt Fence installed, <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. <br /> ""PROPERTV SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of appiicalion,notarized <br /> If over b2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Ariomey((or the owner)would be someone wilh notarized letler from owner aulhorizing same <br /> OVER THE COUNTER PERMI7TING (copy of contracl required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footagel <br /> Driveways-Not over Counter if on puhlic roadways..needs ROW , <br />