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i <br /> � <br /> e�a-�saoo2o City of Zephyrhilis Permit Application Fax-813-760-0021 <br /> Building Department <br /> Date Received Phone Cor�tact for Permittin <br /> Owners Name e ��'� Owner Phone Number ��Z—� <br /> Owner's Address '� � Q'�; / /l �Z Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS � J LOT� � <br /> SUBDIVISION IYAr � �� I PARCELID# �� Z ^ �(5Z O^� �O«pO <br /> (OBTIJNED FROM PROPERTY TAX NOTICE� <br /> WORK PROPOSED B NEW CONSfR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q <br /> DESCRIP770N OF WORK L I �/V�'/ ' V/k �f/� <br /> BUILDING SIZE SQ FOOTAGE � � HEIGHT � <br /> QBUILDING $�� ��� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N �CuwtEn Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE aEcis�aEo Y/ N �e cut�n Y/N <br /> Address License# <br /> � <br /> MECHANICAL COMPANY <br /> SIGNATURE r�GISTEREo Y/ N r�e Cuwx�n Y/N <br /> Address License# <br /> OTHER COMPANY P/, � . <br /> SIGNATURE rtEcisTErten Y/ FEE CURREI. Y/N <br /> Address � [ Q � License# <br /> Iltlllllllllllllllllllllll ' IIIIItllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(Z)Plot Plans;(2)sets of Building Plans;(1)set oi Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after su6mittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projeds <br /> COMMERCIAL Attach(2)complete sets of Buflding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consWction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Conslruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for aIl NEW consfruction. <br /> Directlons:• • • • • • • • • • • <br /> Ffll out appiication completely. • <br /> Owner&ConUactar sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for Uie contractor)or Power of Attomey(far the owner)would be sameone with notarized letter from owner author¢fng same <br /> OVER THE COUNTER PERMITf1NG (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-No[over Counter if on public roadways..needs ROW <br />