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I Fax-813780-0027 <br /> • ' s��-�saoozo City of Zephyrhilis Permit Application , _ <br /> Building Deparlment <br /> Date Received phone ConWct fo�Pertnittlng ( — <br /> t 1 1 1 1 1 1 1 1 1 1'i 1 <br /> Owners Name Owner Phone Number <br /> Ownefs Address Owner Phone Numher <br /> Fee Slmpie Tiqeholder Name Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> LOT# <br /> JOB ADDRESS - <br /> SUBDIVISION PARCEL ID� <br /> (OBTAINED FROM PROPERTYTAX NO'i10E) <br /> WORK PROPOSED e NEW CONSfR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q � <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION � <br /> QELECTf21CAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> �Gqg Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO � <br /> . � <br /> BUILDER COMPANY = <br /> SIGNATURE Rec�s7eREo Y/N �curtRen YlN <br /> Address <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE r�cis7er�o Y/N �cuaaen Y/N <br /> i <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISlEFiED Y! N FEE CURRE� Y 1 N � <br /> Address� License# ! <br /> MECHANICAL COMPANY <br /> SIGNATURE REGIs�Reo Y/N r�aRr�n Y/N <br /> Address V��# <br /> � %i� r .��'' <br /> OTHER t` COMPANY � � ,1 d �'7 � <br /> S�GNA7URE C � REGISTERED Y/N �cuRrtEn Y/N <br /> `j L'�Jo A (� , OC ` , <br /> Address License# <br /> IIIIIItII'1111I1t111111111111�111�i11111��111111111111111111111111111 <br /> RESIDENTIAL Attech(2)Plot Plan's;(2)sels of Building Plans;(1)set ot Energy Fortns;R-O-W Permit for new construction, <br /> Mnimum ten(10)worfcing days after submdlal date. Required onsite,Construction Ptans,Slormwater Plans w/Siil Fence installed, <br /> SaNtary Faalities&1 dumpster,Site WaAc Permit for subdivisions/large projeds <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a LiFe Safery Page;(1)se[of Energy Fortns.R-O-W Pemiit for new construcUon. <br /> Minimum ten(10)working days after submittal date. Required onsile,Conshuction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facili6es 81 dumpstec Sfte Work Pertnif for all new proJects.All commercial requ'iremenLs must meet compiiance <br /> SIGN PERMIT Altach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Diredions: <br /> Fili oul applicaiion completely. <br /> Owner&Contrador slgn back of applicaUon,notarized <br /> Ii over 82500,a Nottce of Commencement is required. (A/C upgrades over$7600) <br /> " /\qent(for lhe conlrector)or Power of Attomey(fo�the ormer)vrould be someone wilh notarized letter from ovmer authoriang same <br /> � OVER THE COUNTER PERMITTING (copy of conVad required) <br /> Reroofs if shingles Sewers Service Upgrades A1C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter'rf on puhlic roadways..needs ROW � <br />