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s�3-�ao-ooaa City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> [ � Building Deparkment . <br /> w <br /> Date Recetved pttqne-Contact far Permittin – <br /> Owner's Naine Owner Phone Nusnbar <br /> Qwner's Address Owner Phone Nember � � <br /> Fee Slmple Titleholder Name � � Owner Phone Number �— � <br /> Fee Simple Titleholder Address - 9 ' <br /> JOB ADQRESS � g `� '�'I�� � �`"1 LOT# tr,� <br /> SUBDIVISION �� � PARCEL ID# " <br /> (OBTAlNED FROM PROAERTY TNC NQTICE) <br /> WORK PRdPOSED �NEW CONSTR ADD/ALT � SiGN Q Q D�MOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED.USE __ Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUC'T'ION .. Q BI.00K � Q FRAME Q STEEL Q <br /> t <br /> � "� i <br /> DESCRIPTION OF WQRK l� O 1A�Y� ���-�,. 2�"v�e-� �c.v � � �/� <br /> BUILDING SIZE SQ F007AGE C.�� MEIGHT <br /> QBUILt31NG �� VALUATION sQF^TOTAI.CONSTRUCTION <br />� [�EIECTRICAI $ �5,.,��,y,� AMP SERVECE Q PRQGRESS ENERGY Q W.R.E.C. <br /> �• b�f� <br />�� [�P�unnB�NG � .J <br /> QMECtiANICAL ($ �, VA�UATtON QP MECHANICA�thtSTA�LATlON <br /> � <br /> QGAS Q ROOFING. Q SPECIAI.TY � OTHER <br /> FINISHED FLOOR ELEVATIONS �� FI.00D 20NE AREA [�YES NO <br /> BUiLDER COMPANY <br /> SIGNATURE REGI$TERED Y/ N FEE CURREA Y/N ; <br /> A�ddress Lfcense# �` � � <br /> ELECYRICiAN � ,��, / COMPANY i�t..�� 1 +C.-- <br /> SIGNATURE � � v �"'" REGISTERED Y/ N FEE CURRE� Y/N <br /> ' Address F � � t �O �� �`�-�n.r- 1��.- � Clcense# �C. � .� C� O � � �i 1 <br /> � <br /> PLUMBER - COMFANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ,License# � . <br /> MECHANiCA1. COMPANY <br /> SIGNATURE REGI$TERED - , Y/ N FEE CURRE� ' Y/N <br /> Addrs�s License# r� � <br /> OTHER COMPANY - <br /> SIGNATURE - REGISTERED Y/ N„. FEE CURRE� Y/N <br /> Address Ucense# �— � <br /> RESIDENTIAL Attach{2)Ptdt Plans;{2}sets of�BuElding"Plans;`{1}set of Etier+gy�Parms;,R-0=W Perir%it hir new construati,on, <br /> Minimum�,teny(�1.0);woricing`days after�subrinittal date. Required onslte,Constnictlan Plans;�StormwaterPlans w/SIIt Fence installed, <br /> Sa�itery Faciltties:&�1.,dumpster Site Work;Permit for subillvisfonsliarge projects � � - <br /> COMMERCIAL Attach{3}comptete sets of Building Plans plcis a Ltfe Safety Page;(1)se#af.Energy Forms.R-O-W Permit for new construcUon. <br /> Minimum ten(10)working days'after submittal date. Requlred onsite,ConsUucBan Plans,Stormwater Ptans w/Silt Fence fnstalled, <br /> , Sanitary Facliides&1 dumpster.Site Work Permtt tor aii new profects.Ait commer�ai.requirements must meet compllance <br /> SlGN pERMIT Attach{2)�sets of Eiigi,'rieer.ed Plans.,., ,�, <br /> ••«•PROPERTY SURVEY royuired fgr ail NEW construcUon. , <br /> � Directlans: , ' <br /> � FIII qut application completely. <br /> ', Owner 8 Conhactor slgn back of appifcat{on,na#aciz�! <br /> tf aver E25d0,a Notice af Commencement ls requlred. (A!C upgrades over 57500) <br /> ,., <br /> `" Agent(far the contractor)orPower of Attomey(far the owner)would be someone with notarized letter from owner autho�fztng same <br /> OVER THE C4UNTER PERMITi1NG (�ront of AppllcaBon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIaUSurvey/Footage) <br /> Driveways-Not over Counter if on public rosdways..needs ROW <br /> i <br />