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s��aso-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> • Building Department <br /> Date Receiv i d. Phone Contact for Permitting — <br /> Owner's Ida I e � G-�=� �� J�'h�'`7 GZ.�� Owner Phone Number <br /> Owner's Ad�ress ` /�7 5j���� C/�GG6• Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS 7 /S3 �/Z(��r/� �(�GC� LOT# � <br /> suaoivisiow PARCEL ID# �S���f-O 9�— C�0000— 4 D� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PRO OSED B NEW CONSTR e ADD/ALT � SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED SE Q SFR Q COMM � OTHER <br /> TYPE OF CO STRUCTION 0 BLOCK • Q FRAME 0 STEEL Q <br /> DESCRIPTIO OF WORK ��l�'D/L /O T/�/�/�O�r D� /�/`7/�'Ll� G(//7� �U /� s�//d���FS <br /> � <br /> I BUILDING SI�E SQ FOOTAGE� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � yao. <br /> �EL CTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPL MBING $ <br /> �ME�HANICAL $ VALUATION OF MECHANICAL INSTALLATION n� <br />� � r V <br /> �GA �� ROOFING Q SPECIALTY � OTHER � <br /> FINISHED FL�OR ELEVATIONS FLOOD ZONE AREA DYES NO 2�,�� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> , Address Cicense# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� � Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE' Re�isTerteo . Y/ N FEE CURRE� Y/N <br /> Aild�ess License#_ <br /> OTHER �_ COMPANY �vl� /�/����� <br /> SIGNATURE�: . C%�� REGISTERED Y/.N FEE CURRE� Y/N <br /> Address � 1�,� ���3 � �� i7l� License# /C.�-�D��o� <br /> , RESIDENTIAL Attach(2)':Plof Flans;(2)sets ofBuilding�Plans;'(1)'set of Energy Forms;R,O-W Permit for new constryction, <br /> , . Minimum�ten_(,10)inrorking;days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanita,ry;Facilities.&:1..dumpster;Sife Work Permit for subdivisions/large projects � - - <br /> COMAflERCIAL Attach'�(2)complete set§of Builcling Plans`plus a Life Safety Page;(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/Siit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit fo�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&ConVactor sign back of application,notarized <br /> • If over$2sI00,a Notice of Commencement is required. (AlC 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(Plot/Survey/Footage) <br /> Driveways Not over Counter if on public roadways..needs ROW <br /> � <br />