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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-d021 <br /> Building department <br />� Date R�ceived' Phone Contact for Permitting � -- <br /> Owner's Name ��°. �Q � �/1"t��' i�S� L-C Owner Phone Number ��"' C�� '" ��`J � <br /> Owner's Address Owner Phone Number �— � <br /> Fee Simple Tit�ehotder ldame �^ � Owner Phone Number �— � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��–� v� ��'fJ C.� j T� LOT# �� <br /> suBaivisioH C'�`45-��;�� l�� ��� � PARCE�ID# �..5=� -Z.I--C:�1 t} --t.�t�ir���--r:�t���� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e �eur ca�sTR 8 ADDtA�T � SIGN � � DEM4�ISH <br /> INSTALL REPAIR <br /> PROPQSEQ USE Q SFR � COIVIIVI � OTHER <br /> TYPE OF CONSTRUCTION [� BLOCK Q FRAME � STEEL Q <br /> DESCRiPTiOM OF WORK U ��'� �V � V""-t � c:" !/ <br /> Bti{IDING S1ZE �����OOTAGE ��'� NElGliT �? � � <br /> �BUILDlNG $ 1 ,�Q Gry. �� VAIUATlON OF TOTAL CORISTRUCTION <br /> �� <br /> QELECTFttCAE. �s _� AMP SERViCE � PROCRESS ENERGY � W.F2.E.C. <br /> �PLUfU181NG �� <br /> `� �� � <br /> OMECHANlCA� $ VALUATION QF MECHANICAL INSTALlATION <br /> � <br /> �GAS Q ROOFlNG Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA DYES NQ <br /> I <br /> 8t71LDER rf ! _,J � C4MPANY 1 �'fL1 Gr''�C"�' <br /> SIGNATURE ,r��/'T REGIS7ERED Y/ N FEE CURRE� Y/N <br /> � <br /> Address /�L� �?� G� �.� License# � � <br /> ELEGTRICtAN � COMP,ANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— ` � <br /> PLUMBER � GOMPAhlY <br /> SIGNATURE 12EGISTERED Y! N FEE CURRE� Y/N <br /> Address License# �� � <br /> MECHAI�ltCA� C4Iti11PANY <br /> SIGPIATURE REGISTERED 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 /> RESIDENTIAL Attach{2}Plot PEans;{2}sets af Building Plans;{1}set af Energy Forms;R-O-W Permit for new construcfion, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects _ _ - - <br /> GOMMEF2CIAL Attach{2}complete sets of Baiiding Plans plus a Life Safety"Page;{1}set of Energy Farms.R-O-W Permit for new construo8on. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silk Fence installed, <br /> Sanitary Facilities&,1 dumpster.Site Work Permit for all new projects.RU commercia!requirements must meet compiiance <br /> StGN PERMtT Aftach{2)sets af Engineered P[ans. <br /> **'*PROPERTY SURVEY required for all NEW construction. <br /> Directians: <br /> Fill out appllcation completely. <br /> Owner&CanVa�tor sign back of applicatian,notarized <br /> If over$2500,a Natice of Commencement is required. (AIC upgrades over$�500j <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 PERMI1TiNG (copy of cantracE required} <br /> Reroofs if shingles Sewers 5ervice Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-IVot over Counter if on pub(ic roadways..needs ROW <br />