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9 3 i�`� <br /> , s�s-�ao-oozo City of Zephyrhilis Permit Application Fax-813-78 -0021 <br /> .� • • /V� .y�2��"'//J /�� � <br /> �a Building Department <br /> Date Received �^' _ <br /> Phone Contact for Permittin� <br /> 7—��r� [� <br /> Owner's Name X. Owner Phone Number ' / d <br /> Owner's Address G[Yj� Owner Phone Number I <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> ' JOBADDRESS CLb� / �J / �Y LOT# � I <br /> SUBDIVISION � �����5 PARCEL IDl� ���� I� �� lJ'V�D��I[/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q� COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK G , C!���� <br /> BUILDING SIZE ' SQ FOOTAGE�-9� � HEIGHT � <br /> 1 1"11 ITT7"1 7"1 <br /> OBUILDING $� � ��ATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> OPLUMBING $ � 2 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 l� 1 � • <br /> \.% �,^ ^/ <br /> � // <br /> �GAS Q ROOFING Q SPECIALTY � OTHER � v � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> BUILDER I��//�/ �COM�Y <br /> SIGNATURE «�� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �f � rYi( License# (J�✓ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA 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 /> IIIILIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;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 installed, <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 Forms.R-O-W Permit for new conslruction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction 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 all NEW construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is requlred. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />