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813-780-0020 City of Zephyrhilis Permit Application Fa�c-813-780-0021
<br /> • Building Department
<br /> Date Received Phone Contact for Permitting —
<br /> Owner's Idame l�►�� pNp.<� Owner Phone Number s�`b�6'"�b �
<br /> Owner's Address 3 8�3� ��n G C�-f�.( )O Owner Phone Number �
<br /> Fee Simple Titleholder iVame Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS 3 W�h I'�Ic�f� LOT# 1(�
<br /> SUBDIVISION J - � PARCEL ID# c�."o�- ''a 1� (�a 6��c70.�7'O��d
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED e NEW CONS7R e ADD/ALT 0 SIGN Q Q DEMOLISH
<br /> INSTALL -REPAIR
<br /> PROP.OSED USE Q SFR Q COMM � OTHER
<br /> TYPE'OF CONSTRUCTION Q BLOCK - Q FRAME 0 STEEL Q
<br /> DESCRIPTION OF WORK �O�GF�J. �� d. �
<br /> BUILDIfVG SIZE SQ FOOTAGE HEIGHT
<br /> QBUILDING $ VALUATION'OFTOTALCONSTRUCTION
<br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> QPLUMBING $ ��
<br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��
<br /> �� �
<br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES 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 Cicense# � �
<br /> PLUMBER.; COAAPANY�
<br /> SIGNATURE REGISTERED Y•/ N= FEE CURRE� Y/N
<br /> Address � License#'
<br /> ' MECHANICAL - COMPANY i� lA����
<br /> SIGNATURE' � � REGISTERED r Y/,N FEE RRE� Y/N
<br /> Ad'd�ess � I��`� US _ Licens,e.#. �
<br /> s.;,�:.
<br /> OTHER °"° COMFANY
<br /> SIGNATURE=-� =' ' REGISTERED Y/.N . FEE CURRE�' Y/N
<br /> Address � License#
<br /> RESIDENTIAL •�, Attach(2).PIofP_lans,'(2);setsof Building�Plans;(1)set ofEnergy,Fo,rms;R-O-W Permit.for new construction,
<br /> � ., Minimum.ten;(10).working:days'afte�subrriittal<date. Required onsite;Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> - � �� 1 Sanitary,Facilities&;1r.dumpster Sife Work Permit for§utidivisions/large 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 onsite,Construction Plans,Stormwater Plans wl Silt Fence instalied,
<br /> Sanitary Facilities&1 dumpster.Site Work Permit fo�all new projects.All commercial requirements must meet compliance
<br /> ����$IGN PERMIT Attach(2)sets o,f Engineered Plans.
<br /> � "'"•PROPERTY SURVEY required for a11.NEW..construction. �
<br /> Di�ections:- �� ��� .�
<br /> - Fill out application completely.
<br /> Owner&Contractor sign.back of applicaUon,notarized
<br /> � If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
<br /> " Agent(fo�th'e contractor)or�Power'of Att6mey(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 Seroice Upgrades A/C Fences(Plot/Suroey/Footage)
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<br /> Driveways-NotoverCounter-if.onpublic�roadways::needs•ROW-- •-3 . ,�.�-�,-�'Y� �.���.-`•-"••-- �- '���
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