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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received - Phone•Contact for.Permittin �1'3 /6 0� – �D�J <br /> Owner's Name ��'�/� �e �J� Owner Phone Number O��" "T U �3`�— <br /> Owner's Address ��"T� !J �–� �. .�3 Owner Phone Number <br /> Fee Simple•Tltleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �l�f� T�m� Q' ��� 2��/�°� � ���-�`� LOT# � <br /> SUBDIVISION A��h�- 1�1�C'tG�� � PARCEL ID# J� �� �'� ��� �il"""`�' ��� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED , e NEW CONSTR� ADD/ALT' Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED�USE Q SFR [� COMM Q OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK ' Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ��� � lQGE � � �� �e� �m � ��y ���� <br /> BUILDING SIZE �_SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATIONtOF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ ,�/p,p��'�� VALUATION OF MECHANICAL INSTALLATION <br /> 7 `-� <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 Gcense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGfVATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL �/��� ` COMPANY ��s �%��� `���`LJ�G' <br /> SIGNATURE �/"`"o�� �-�� REGISTERED Y./ N FEE CURRE� Y/N <br /> Addreas '��'�-� ���=�f � ��{��✓� �S�! License# C����� � <br /> OTHER COMPANY <br /> SIGNATURE ' REGISTERED Y/ N . FEE CURRE� Y/N. <br /> Address � License# <br /> RESIDENTIAL Attach(2):Flof Flans;.(2)sefs of Building`Plans;(1)seti of Energy�Forms;R-O-W Permit for new construction, <br /> Minimum;ten(40),work(ng,days after_submittal date. Required onsite,Construction Plans,�Stormwater'Plans w/Silt Fence installed, <br /> Sanitary FacfllUes:&=1,dumpster;.Site'Work�Permit fo'r subdiyislonsAarge projects <br /> COMMERCIAL_-_Attach(3)complefe sets of Building Plans plus.a Life Safety-Page;(1)set of Energy Forms.R-O-W Pertnit fornew construction. <br /> Mlnimum ten(1U)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permft for all neinr proJects:All commercial requlrements must meet compllance <br /> SIGN PERMIT Attacti(2)�sets of Engineered�.Rlans.�� � <br /> "'•PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out applicatlon cnmpletely. <br /> Owner&Contractor sign back of appUcaUon,notarized <br /> If over 52500,a Notice of Commencement i�required. (A!C upgrades over 57500) <br /> " Agent(far the contraoto�)or Power of Attort'�ey(fo�the owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER P.ERMITTING- (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />