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I s+�-�ao-oozo City of Zephyrhilis Permit ApplicaGon Fax-813-780-0021 <br /> y' Bullding Department <br /> ✓ <br /> Date Reeefved Phone Contact for Permittin <br /> Owner's Name � P Owner Phone Number ���'Ja l✓� <br /> Owner's Address O / ��/� Owner Phone Number /J"�cJ c�'�/ 7 <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Slmple Tltleholder Address <br /> JOB ADDRESS ��� ��J L� / ''✓r�`� LOT# � <br /> SUBDIVlSION PARCEL ID# <br /> (OBTAINED FROM PROPEfiIY TA7C NOTICE) <br /> WORK PROPOSED e NEW CONS7tt e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q CQMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �� G �/l� � � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUIL�ING S ���OO VALUATION OF TOTAL CONSTRUCTION <br /> Q ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '� O� <br />� QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY G G� <br /> SIGNATURE REGISTERED Y/ N FeE cuRrtEn 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! N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURREA Y/N <br /> Address Lfcense# <br /> OTHER COMPANY <br />' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# � <br /> � � � � � � � � � ii � ti � � � � i � � � � i � � � � � � � � � � ii � i � � i � � � e � � � � � � i � � � � � � � � � � � � � � � <br />, RESIDENTIAL Attech(2)Plot Plans;(2)sets of Bullding Plans;(1)sat of Energy Fortns;R-O-W Permit for new consWction, <br /> Minimum ten(10)working days afler submittal date. Requ'ved onsite,Construclion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pettnit far suhdivisions/large proJects <br /> COMMERCIAL Attech(2)complele sets of Bulding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. � <br /> Minimum ten(10)working days after submittal date. Requlred onsite,ConsWctlon Plans,Slortnwater Plans w/Silt Fence installed, <br /> Sanilary Facilitfes 8 1 dumpster.Site Work Pertnit tor all new projects.All commercial requiremenls must meet wmpliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'•PROPERTY SURVEY required for all NEW conshucUon. <br /> Directlons:• <br /> Fill out application complelely. <br /> Ovmer&Contractor sign back of applicadon,notarized <br /> If over 52500,a Notice of Cammencement Is requlred. (AIC upgrades over 57500) <br /> " Agent(tar the contractor)or Power of Attomey(tor the owner)would be someone with nofarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTiNG (capy of contract requtred) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..�eecls ROW <br />