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/ <br /> 813-780-0OZO City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> � , Date Recetved �l �Y � Phone Contact for Permittlng d�� [ �� - � G <br /> ZT7-i- �1 <br /> Owner's Name r � Q� Owner Phone Number ��' (�(J•jW <br /> Owner's Address �� `� J� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � ��� vV `� ✓� LOT�f � <br /> SUBDIVISION G't�'�C- f�l� �I PARCEL ID# (J Z' L�o' 2-1'O/�O- O�O��V Q 7 U <br /> (OBTAINED FROM PROPERN TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R e ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK lK C.Q I l C�C.JUr u � S� ' <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �eUILDING $ �� Gf� VALUATION OF TOTAL CONSTRUCTION <br /> �I� � <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. �Y` <br /> �PLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � f��� 1 <br /> � <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> . +�� . . . . . . . . . . . . . . <br /> BUILDER ������� �COMPANY � O <br /> SIGNATURE � REGISTERED Y/ N FEE CURREl. Y/N <br /> Address C�VO � a �- � Q 334�f License# (i/(�GD �� <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 COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY , <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiIII <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construclion, <br /> Minimum ten(10)working days afler submittal date. Required onsite,Conslruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&"1 dumpster,Sile�lNork Permit for subdivisions/large projects . <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life�Safety Page;(1)set o(Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date, Required onsite,Construclion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Pertnil for all new projects.All commerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2),sets of Engineered Plans. <br /> ""PROPER7Y SURVEY required for all NEW construclion. <br /> Directions:' <br /> Fill out application completely. _ <br /> Owner&Contractor sign back of application,nolarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgredes over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized lelter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Fronl of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />