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s�saao-0o2o City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> _� <br /> Building Department <br /> , v <br /> Date Received phone Contact for Permitting <br /> Owner's Name �T� Owner Phone Number <br /> Owner's Address (/ �(�l ►'� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS -I D�/ C f l� LOT# � <br /> SUBDIVISION Q � �f i�`> '�5t � pARCEL ID# 3 ��O� / �V � U o�b3 V <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT � SIGN NED FR�OM PROPERTV T�iice)DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK Q �WYf V'� (�� � S'�' / <br /> BUILDING SIZE S�FOOTAGE � HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUM ING $ -�n��� <br /> ]/` �/i� <br /> /�j �lJ <br /> MECHANICAL $ �JQ� VALUATION OF MECHANICAL INSTALLATION .�( <br /> 10. (1 <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> —f-1—I�F7--•--•--•--•—•--•--.��.--•--•--•-�•--•--.��I-�1-a-�1�1-1-1-1-�F+�1-�1-a—•1•--r'�^ . . ..--•--•--.-.r'—'.--. '�� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL �j COMPANY G 'e� `� D ( <br /> SIGNATURE REGISTERED / N FEE CURRE� Y/N <br /> Address 'J � J.T(J� License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIItllllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Atlach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new conslruction, <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 subdivisions/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 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 all new projects.All commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> ! I 1 6�i.3.i • • y� • • 3..7 • ....�.�...� ' 6 I • • � • , L 6 f i�� <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (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 PERMI7TING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> .Driveways-Not over Counter if on public roadways..needs ROW <br />