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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> p, � Building Department <br /> Date Recelved � <br /> Phone Cantact for Permitting <br /> -rr i rr r�-r� - --'rrr-��� <br /> Owner's Name u Owner Phone Number 57����/-� <br /> Owner's Address OO •� �T � � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION �� k r• . 1. PARCEL ID# ��'G7��14r l��� O Ob+ O � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN Q Q DEMQLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK {rI� S S <br /> BUILpING SIZE SQ FOOTAGE HEIGHT � <br /> TTRRTTTrTTTrITTTTTrr�TTTTkT•r'r'rITTTTrrTrTTTTr <br /> QBUILDING g � VALUATION OF TOTAL CONSTRUCTION <br /> Q ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. <br /> �PLUMBING $ �a` <br /> �MECHANICAL $ �ysa�aa VALUATION OF MECHANICAL INSTALLATION �( •v <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ 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 1 N � FEE CURREA � Y/N <br /> Address License# <br /> MECHANI COMPANY {1� � � � <br /> SIGNA E REGISTERED Y N � FEE CURREI. Y I <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N <br /> Address License# <br /> I f l I 1 11 I 1 1 11 1 1 E I 11 L I � 1 1 11 I I t l 11 ! I l 1 1 1 1 11 F 1 [1 [ I [ 1 1 l l i l F 1 11 [1 1 11 1 1 11 [ <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(t)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for.subdivisions/large proJects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new co�slruction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanilary Facilities 8 1 dumpster Site Work Permit for all new projects.All commercial requirements must meat comptiance <br /> SIGN PERMIT Attach(2)se�s of Engineered Plans. <br /> •"`PROPERTY SURVEY required for all NEW construction. <br /> �i-F{-i�I-�FFi�4�i-4-F�M�FI�L-t-.FI�FHf+�FhL-i-f-i�[+6�FF-E�6-f-f-i+«FFF4-Fi-i-d+i+H-•L�i-F�FI�FLi�I-i-FI-N�F <br /> Dlrectlons: <br /> Fill out application comptetely. <br /> Owner&Contractor sign back of application,natarized <br /> If over SZ500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)woutd be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITfING (copy of contract required) <br /> Reroots if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />