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sis-�eaoozo City of Zephyrhilis Permit Application Fax-813-780.0021 <br /> , Building Department <br /> Date Received 3 1 S1c� <br /> Phone Contact for Pertnitting p� (JV <br /> Owners Name �� Owner Phone Number � ��� <br /> Owners Address� � V� ��' Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOBADDRESS �� � r� C . LOT# I � <br /> SUBDIVISION � � ` PARCEL ID# �� 5 a ��� � �_ `��O <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e AD� � SIGN Q Q DEMOLISH <br /> ' INSTALL RE AIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION �� BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK , �L.w w � <br /> BUILDING SIZE SQ FOOTAGE ��� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br />, �PLUMBING $ � ` � C� <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � J <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 License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> �1 .w��v .j�`. j� �^ <br /> MECHANICAL � ` 1�� COMPANY � �I—� ' <br /> SIGNATURE v�., "�-� `�/��"'- "—. GISTERED Y/ N FEE CURRE� Y/N <br /> Address 'b� �- w� License# <br />, OTHER COMPANY <br />, SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Pians,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required fo�all NEW construction. <br /> Directions: <br /> Fill out application compieteiy <br /> Owner&ConVador sign back of application,notarized <br /> If aver$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of conVact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlobSurvey/Footage) <br /> Driveways-Not aver Counter if on public roadways..needs ROW <br />