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813-780-0020 City of Zephyrhilis Permit Application Fax 813-780-0021 <br /> Buflding Department <br /> Daf��Racelv�d Phone Contact'for Perm(ttfn – <br /> Owner's Mame �/ : L' t° '�" t � l' Owner Phone Number " (3 J���5 <br /> ✓ <br /> Owner's Address � �� Owner•Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titieholder Addr�ss " <br /> JOB ADDRESS ✓"� , �OT h t " �C !2 t/' c�f S ✓ LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR ADD/ALT � SIGN� Q Q DEMOLISH � <br /> B INSTALL .B I REPAIR . <br /> PROPOSED USE �—SF Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK ' Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK ��L I!�L'� IM C �I� �N <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT , <br /> QBUILDING $ VALUATION�OF T07'AL CONSTRUCTION <br /> QELECTRICAL V' $. a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> . <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ������ � <br /> QGAS [� ROOFING Q SPECIAITY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO ' <br /> BUILDER COMPAMY� <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N. <br /> Add►ess License# � <br /> ELECTRICIAN � COMPANY dl?'1G 47dj2�� <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 /> .� <br /> Address License# ° <br /> MECHAIdICAL COMPANY <br /> SIGNATURE REGISTERED Y,/ N FEE CURRE� Y/N <br /> Address � License# . <br /> OTHER COMPANY <br /> S�GNATURE REGISTERED Y/ N . F.EE CURRE� Y�/N <br /> Addres� License# <br /> s . <br /> RESIDENTIAL Attach(2)PIot:Plans;.(2)sets=ofBuilding,"Plans;`(1)set of Energy'Fortns;R-O=W Perrr%it for,"new construction, <br /> Minimum..ten;,(10);working'days,after�submiftal�date. Requlied ons(te,ConsfrucHomPlans;Stortnwater Pians w/Sllt Fence installed, _ <br /> Santtary�FacillUes�&1,;dumpste,r,,,Site�Work�Pertnftforsutidivisions/largepro]ects� � �°`�' � � <br /> COMMERCIAL Att�ch(3)'complete sets of Building Plans plus a Ufe Safety Page;(1)set of.Energy Forms.R-O-W Pertnit for new construcUon. <br /> , . ,,,-, Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilitles 8 1 dumpster.Site.Work Permlt for all'new projeofs.All commercial requlrements must meet compllance <br /> SIGN PERMIT Attach"(2)'set§of Erigineered�Plans.. :: ;K . - , <br /> ""PROPERTY SURVEY reguired_forall NEW constructlon. � <br /> Directlons: <br /> FIII out applicaUon completely. <br /> Owner 8 Contractor sign back of appllcaUon,notarized <br /> If over 52500,a Notice of Commencement is required. (A!C upgrades ovar$7500) <br /> '" Agent(for the contractor)or Power of Attortmey(ior�the owner)would be-someone with notarized letter from owner authorizing same , •, <br /> DVER THE COUNTER..PERMITTING ��(Front:of Applicatiori�Only) � �� � " " � " <br /> Reroofs,if�shi�gles Sewers Seniice Upgrades AIC : Fences(PIoUSuryey/Footage) ' ` - <br /> ` Driveways-Not over Counter ff on public�roadways..needs ROW- -... ;:.. � � �� � � <br />