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� <br /> �- - ! 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> .. Building Department <br /> Date Recelved Phone Contact for Perm(tting� ) <br /> �'f'I��TITiTiTr <br /> Owner's Name �0. b M 0�'�- Ca(� Owner Phone Number �� � / �' l3 O <br /> Owner's Address 3 a�q � �/ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 g a °� �� ��/'e-- � �� �J SL�p� LOT# � <br /> SUBDIVISION Z��� � +��S PARCEL ID# I � �� I ��30� O I OC�� O/ <br /> (OBTAINED FROM PROPERTY iAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR a COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME O STEEL Q <br /> DESCRIPTION OF WORK ` UG� G�1Q �}'�- � 3'� <br /> BUILDING SIZE �� SQ FOOTAGE� HEIGNT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br />, QPLUMBING $ <br /> . �ECHANICAL $ ���O�c� VALUATION OF MECHANICAL INSTALLATION � l � � `� , <br /> �_. � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO � <br /> BUILDER COMPANY � <br /> SIGNATURE REOISTEREO Y/ N FEE CURREA Y/N <br /> Address License# � �� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# , <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# I <br /> MECHANICAL COMPANY C�1Sy ` I � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N , <br /> _ Address UoZ V O !k 33��� License# L �� / � I <br /> OTHER COMPANY i <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIII.IIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, I <br /> Minimum ten(10)working days after submiltal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit tor subdivisions/iarge projects <br /> COMMERCIAL Attach(2)complete sets o(Building Plans pius a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minfmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanftary Facilities 8 1 dumpster.Site Work Permit for all new projects.AII commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW conslruction. <br /> Directions:' <br /> Fill out application completely. <br /> Owner$ConVactor sign back of application,notarized <br /> If over$2500,a Notfce of Commencement is requlred. (A/C upgrades over 57500) <br /> " Agent(for the conlractor)or Power o(Attomey(for the owner)would be someone with notarized letter(rom owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Senice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> /� <br />