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s�aaso-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> . . ' Building Department� _ <br /> Date Received ` �� � ,� � Phone Contact for Permitting �l 3 .� — �S 3 <br /> Owner's Name t { ( ��'-'L� Owner Phone Number <br /> Owner'`s Address �2-ZZ-- c� � ��l V4� r2 Owner Phone Wumber <br /> Fee Simple Titleholder Name Owner Phone Idumber <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS 3��ZD � � , LOT# � <br /> SUBDIVISION PARCEL ID# /3`oZ.�-� � O� � ��m� -- Q ��Q <br /> j j � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> �j WORK PROPOSED e NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> !r ' INSTALL REPAIR <br /> i� PROPO�SED USE Q SFR Q COMM 0 OTHER <br /> �fi TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> �j DESCRIPTIOId OF WORK S F � c <br /> � <br /> �I BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> � � <br /> 1 <br /> � QBUILDING $ ip � VALUATION OF TOTAL CONSTRUCTION <br /> !f � � <br /> �� QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C: <br /> i� , <br /> i OPLUMBING $ , <br /> �' QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (�`�� <br /> ,� � <br /> �, QGAS � ROOFING Q SPECIALTY 0 OTHER <br /> � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ,t <br /> i <br /> w <br /> � BUILDER COMPANY <br /> i SIGPIATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � Address License# <br /> 4 <br /> � ELECTRICIAN COMPANY <br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> a <br /> a Address License# <br /> � <br /> � , � .. <br /> � PLUMBER COMPANY <br /> � SIGNATURE REGISTERED Y'/' N . FEE CURRE� ��Y/�N' <br /> I : <br /> i <br /> Address License# . <br /> MECHAfVICAL. COMPANY. <br /> ' SIGNATWRE REGISTERED Y/-N. FeE cu�en Y/N � <br /> Address License# <br /> OTHER COMPANY t �''�''� <br /> SIGNATURE {x��C��, REGIS7ERED Y/ N FEE CURRE� Y/N <br /> �. <br /> 1 � CCC-a����z-- <br /> Address D D�-vvL License# <br /> �°. RESIDENTIAL- Attach�(2)Plot Plans;(2)sets of Building Plans;,(1)set of Energy Forms;'R;O=W Permit for new construction, <br /> ;`", Minimum ten:(.1:0)'.working days aftersubmittal date. Required onsite;=ConstructiomPlans,Stormwater Plans w/Silt Fence installed, <br /> -. Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMNiERCIAL 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 submittahdate. Requi�ed onsite,Construction.Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities'&9'dumpster.Site Work Permit for all'new projects.All commercial requirements must meet compliance � <br /> ` - SIGPI PERMIT Attach(2),sets of Englneered Plans. _ ,- <br /> *•""PROPERTY SURVEY required for all NEW construction. <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 Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUIdTER PERAAITTING ' (copy of contract required) � <br /> Reroofs if shingles Sewers Service_Upgrades A/C � Fences(Plot/Survey/Footage) � <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />