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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Build(ng�epartment <br /> Date Received <br /> Phone ContactforPermittin <br /> Owner's Name —�I ey el� L, 1�+ Owner Phone Number <br /> Owner's Address a� ��.F.V V � J.��� Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Tltleholder Address <br /> JOBADDRESS �/LJ 1,,�,� � �\Y LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROMI PROPERTY TA%NOTICE) <br /> WORK PROPOSED � N TALLSiR e REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK I S 1 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> I QBUILDING $ VALUATION OF TOTAL CONSTRUCTION I <br />� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBMG $r�'�';`,.y /� y� <br /> v� 1..�.J � l� " � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <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 License# <br /> PLUMBER I '� COMPANY I�I �.�}�S �1 LLJL Q, ��C�C'v�S��C, <br /> SIGNATURE (J REOISTERED / FEE CU RE� Y/N <br /> Address �} JcE J '�V S(,Ot 11 'e �� License# 1.���' � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br />� Address License# <br /> i OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllltlllillllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Fortns;R-O-W Permit for new constructton, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facililies&1 dumpster;Site Work Permit for subdivisions/large proJects <br />' COMMERCIAL Attach(2)compiete sets of Build(ng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit tor new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 constructfon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If aver b2500,a Notice of Commencement Is requlred. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(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 shfngles Sewers Service Upgrades A/C Fences(Piot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />