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� 813-780-0020 City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Building Department ,. <br /> Date Received ` <br /> Phone Contact fo�Permitting - <br /> Owner's Name '��� ��i�- �> LL C Owner Phone Number <br /> Owner's Address /�C �Z `�`ti"�'( ��2� 'J ( r��wner Phone Number / � l� [od� ' /�( �] li <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address , <br /> ' JOB ADDRESS ��� �� • � �r , ��Lv� �� LOT# � ' <br /> iy � I <br /> !� � I <br /> j.� SUBDIVISION PARCEL ID# , <br /> i� (OBTAINED FROM PROPERTY TAX NOTICE) <br /> �: WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> ii ; INSTALL REPAIR <br /> �� PROPO3SED USE Q SFR _ Q COMM 0 OTHER <br /> i$ TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q � <br /> ' � ��,�--� .-� r�� 1� �� �'1��'3�� ��� �� - l�- <br /> �} DESCRIPTION OF WORK <br />� ,� � �� <br /> � BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �� � <br /> � QBUILDING $ <br /> � ��g"�, VALUATION OF TOTAL CONSTRUCTION � <br /> � f ELECTRICAL $ AMP SERVICE <br /> � 0 � PROGRESS ENERGY Q W.R.E.C: <br /> r � <br /> � QPLUMBING $ � �CJ� <br /> r • <br /> d <br /> '� QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION . <br /> , �� ' <br /> � �GAS Q ROOFING Q SPECIALTY 0 OTHER ��� ��� <br /> ' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � � <br /> � <br /> a <br /> � BUILDER f` COMPANY �L-134�(� �-�� ��'�`v✓S 2� <br /> � SIGNATURE �� REGISTERED Y/ N E CURRE� Y/N <br /> � . <br /> j Address 701,��1��r�tu � � � � <br /> � /`-4 License# C� G132��(�'.L <br /> � I <br /> � ELECTRICIAN COMPANY <br /> � SIGMATURE REGISTERED Y`/ N FEE CURRE� Y/N <br /> � <br /> �Y , Address • License# <br /> PLUMBER COMPANY <br /> � SIGNATURE REGISTERED - Y./`N . PEE�CURRE� � '�Y/�N' �� <br /> � <br /> , <br /> � Address - License# . <br /> ` MECHANICAL . COMPANY - <br /> SIGNATURE REGISTERED Y,/�N.- ..� FEECURRE� ;.Y,/N � <br /> Address _ License# <br /> ,-; - - .. � <br /> OTHER,. , COMPANY <br /> �= SIGN�►TURE REGISTERED Y/ N FEE CURRE� Y/N <br /> �, , <br /> �• Address License# <br /> :,, <br /> i:+_ , . : .• ,.,. ;,,. . _- � . ' , . , .- : .., . . ' �� <br /> r.�. <br /> iw; RESIDENTIAL' 'Attacfi(2)PIot.Plans;�(2)sets of Building Plans;(1)set of Energy Forms;;R=O,W.Permit'for new construction, _ <br /> �;_ Minimum-ten�.(.9.0)'working days'af'tersu6mittal date. Requireil onsite;-ConstructiomPlans,Stormwater Plans w/Silt Fence installed, <br /> ' - Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsJlarge projects � <br /> �:� COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Fage;(1)set of Energy Forms.R-O-W Permit for new,construction. <br /> Minimum ten.(10)working,days after submittal date. Required onsite,ConsVuction.Plans,Stormwater Plans w/Silt Fence installed, <br /> - Sanitary Facilities 8�1'dumpster.'Site Work Permit for alf new projects.All commercial requirements must meet compliance <br /> . - SIGN PERMIT Attach(2);sets of Engineered Plans. , <br /> ""PROPERTY_SUR1/EY 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. (A/C 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 COUN7'ER PERfNITTING (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 />