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813-780-0020 City of Zephyrhilis Permit Application Fax$13-780-0021 <br /> ; _i = � ti Building Departmenl <br /> Date Received 5� 7 (�� ��� <br /> O�� I Phone ContactforPermittin D � - � <br /> Owner's Name �� ���1'Pi� �C Owner Phone Number <br /> I �j�,� �/� �.J <br /> � Owner's Address ��� �G�I�C� s rJ`�` �`•� Owner Phone Number <br /> Fee Sfmple Titleholder Name Owner Phone Number <br /> � Fee Slmple Titleholder Address <br /> JOB ADDRESS ' C�1 I � ( (/ LOT# � <br /> � SUBDNISION PARCEL ID# 3 5-Zs - a l- ��3a-o�'C�L�� <br /> ,�p (OBTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> ' DESCRIPTION OF WORK L..' l�-•I� ' �(�-��t �j!✓�C.'.i�l'�' S -�Y� ��W ��O I'�(�� <br />— - -- - ' ' BUiLDING SIZE - - -- SQ FOOTAGE ` HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �LECTRICAL $ � �/D� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ 1���L���,•� l`1��J� <br /> � � T <br /> q� OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � �GAS Q ROOFING Q SPECIALTY � OTHER � I �V�� <br /> � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO � <br /> � BUILDER COMPANY <br /> �;I SIGNATURE REGISTERED Y/ N FEE CURREA Y I N <br /> Address License# <br /> ELECTRICIAN� COMPANY �'�'»'►'1 f.�11�CY�'�'�on I�+L(e� J./Y-��Ce'S �L'` <br /> SIGNATURE REGISTERED "� Y/ N FEE CURREA Y/'N �--. <br /> Address S- T� QG! � ��� ���'�1 !�� License# �� � Q �� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � Address License# <br /> -- - ' MECHANICAL-- ---- - - - ` -- -------—CUMPANY— --- - - -- - - —-- - - - - <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> i� SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> pl RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consWctlon, <br /> Minimum len(10)working days aker submittal date. Required onsite,Construction Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Facililies 8,1 dumpster,Site Work Permit for subdivisions/large projects <br /> , COMMERCIAL Allach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. <br /> Minimum len('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 ail 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&Contractor sign back of applicalion,no[arized <br /> If over$2500,a NoNce of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner aulhorizing same <br /> � OVER THE COUNTER PERMIT'fING (copy of contrecl required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Nol over Counter if on public roadways..needs ROW <br />� �� <br />