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e��-�ao-oozo City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Building Departrnent <br /> ► ` <br /> Date Recelved Phone Contact for Pertnitting <br /> Owner's Name � U� � ,ri� Owner Phone Number Q <br /> Owner's Address �� C Owner Phone Number <br /> Fee Simple TiGeholder Name Owner Phone Number <br /> Fee Simple TitleholderAddress <br /> JOBAD�RESS � �i• L.�.� Z LOT# I� <br /> SUBDIVISION Oa�/`�I'�(ATGT,� PARCEL IQ►F 'Z — I—D '� OQ �O <br /> (OBTAINED FROM PROPERTYTAX NOTIC� <br /> WORK PROPOSED B NEW CONSiR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> r � <br /> DESCRIPTION OF WORK � <br /> BUILDING SIZE SQ FOOTAGE Q� HEIGHT � <br /> �T� � � � f� r� T r�'f � � � � � � � r� �� e <br /> QBUILDING $ O VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE rtE�iSrEr�o Y/ N FEE CURRE� Y/N <br /> pddress License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE rtEeisreReo Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REC�ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY /J � O ILC• <br /> SIGNATURE REGISTERED / N FEEC RRE� Y!N <br /> � , <br /> Address 6 � �' License# <br /> Illlllllllilltltllttitltlll•llllllllllllllllllllllitllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after su6mittal date. Required onsite,Construction Plans,Slortnwater Plans w/Silt Fence insialled, <br /> Sanitary Facilities 8 1 dumpster,Site Work Pertnit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)sef of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sil[Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All wmmercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPER7Y SURVEY required for all NE1N conshuction. <br /> Diredlons: <br /> Fill out applicafion completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over j2500,a Notice of Commencement is required. (AIC upgrades over E7500) <br /> •• Agent(for the contractar)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner aulhorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />