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� � <br /> 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> r Building Department <br /> �� <br /> Date Received Phone Contact for Permitting �� ' D��� <br /> Owner's Name � \ 0�"\ Owner Phone Numher Q( �/pr - 70�� <br /> Owner's Address O � �btNf..� �} � Owner Phone Number <br /> Fee Simple Titieholder Name � � Owner Phone Number � <br /> Fee Slmple Titleholder Address /" `-' <br /> JOBADDRESS O�� Q1At� V/"TL e IJ LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED e nIEW CoNSTR e ADD/ALT � SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br />' PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � , �� Q <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � I <br /> OBUILDING �u O�J?.5 VALUATION OF TOTAL CONSTRUCTION <br /> J.7 <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING y <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �I �� � � <br /> l <br /> OGAS 0 ROOFING Q SPECIALTY 0 OTHER e� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO S � <br /> J <br /> I <br /> I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURRE� 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 /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construc[ion, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br />, Sanitary Facilities 8 1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(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 Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements mus[meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERIY SURVEY required for all NEW construction. <br /> Directlons:• <br /> Fill out application completely <br /> Owner 8 Contractor sign back of applica[ion,notarized <br /> If over$2500,a Notice of Commencement is requlred. (A/C upgrades over$7500) <br /> `* Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />