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813-780-0020 City of Zephyrhitls Permit Application Fax-813-780-0021 <br /> Building Department _ - <br /> . <br /> � <br /> Date Recelved Phone Contact for Permittin - <br /> Owner's Name Q �' � ' � v��ner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simpl�Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I 5 � (/� � ��` LOT# U <br /> SUBDIVISION PARCELID# ���(o ��'C�T��J�ODO-��-Ud <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> � B INSTALL B REPAIR <br /> PROPOSED�USE ,5. Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION . Q BLOCK , Q FRAME Q STEEL Q <br /> : <br /> DESCRIPTION OF WORK Q ..0 `�� ��/ v � /�m ���'��`Q <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> -r�.��;.��. .,_� <br /> QBUILDING $ VALUATION OF TOTAL' CONSTRUCTION <br /> ELECTRICAL $ (/� AMP SERVICE �'� Q P GRESS ENERGY� � .R.E.C. <br /> ' ����� <br /> QPLUMBING $ <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 /> . � � � <br /> ELECTRICIAN �✓V"`� '� COMPANY �-C�� <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/ <br /> Address I I License# �i� ��d /�� � <br /> PLUMBER COMP.ANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# ` <br /> MECHANICAL COMPANY <br /> SIGNATURE 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 Rlans;_(2)sets�of,Building Plans;(1)sef of Energy°Forms;R-O-W Permit fo"r new construction, <br /> Minfmum ten(10);working:days,after.subrtiittal date. Requtred ansite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> �� Sanitary Facflities.&�1..dumpster,�Site�Work•Permit for subdivisionsAarge projects � ' - - � - <br /> COMMERCb4l. Attach(3)complete seCs of�Buildirig'Plens plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days'after submitNal date. Required onsite,Construcdon Plans,Stortnwater Plans wl Silt Fence installed, <br /> Santtary Facilitles 8 1 dumpster.Site Work Permit for all new projects.All commercial requlrements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered•P-_lans. . � - <br /> ••••PROPERTY SURVEY required for all NEW.construction. <br /> Directions: <br /> FIII out applicaBon completely. <br /> Owner 8 Contractor sign back of appiicatlon,_notarized- = <br /> If over 52500,a Notice of Commencement is required. ,(A!C upgrades over 57500) <br /> " Agent(far the contractor)or Powec of Attomey�(fo�tFie owne�)'would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING' "; �(Front of Application Only) <br /> Reroofs lf shingles Sewers _, �Service Upgrades A/C � Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways.:needs ROW <br />