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,;:;;�� .=�. <br /> 1 , <br /> 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building DepaRment <br /> Date Recelved ` �/�- <br /> Phone Contact for Permitting / <br /> � '' �a3 3C�9 <br /> Owner's Name y.�p i Owner Phone Number <br /> Owner's Address LV �v /� � Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addrass <br /> J08ADDRESS v LOT# � <br /> � J �V V <br /> SUBDIVISION � PARCEL ID# �� '� ��Oo�-V <br /> (OBTAINEO FROM PROPER7Y TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R B ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL <br /> DESCRIPTION OF WORK ��,�7 ' l �r�� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> �BUILDING $ � OD• VALUATION OF TOTAL CONSTRUCTION <br /> dD <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ` "' ` �7 <br /> OGAS Q ROOFING � SPECIALTY 0 OTHER �J y Z3 <br /> l <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY /�"6�0 d � <br /> SIGNATURE / REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � � �� W ���— License# �j <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2j sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construclion, <br /> Minimum ten(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 subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building 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 onsile,Construction Plans,Stormwater 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 construction. <br /> Directions:• <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgredes over 57500) <br /> �o[Zhe_Goqtract Power of Altomey(for the owner)would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTING �opyof contract requiredl <br /> 1Reroo , �����y��, ��,.��� Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> �s <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />