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813-780-0020 City of Zephyrhilis Permit Application rax-s�"s-resu-uuLi <br /> Building Department <br /> s' <br /> Date Received Phone Contact for Permitting <br /> Owner's Name Owner Phone Number <br /> Owner's Address . �� Owner Phone Number <br /> Fee S1mplelTitleholder Name' a OwnerPhone Number <br /> Fee Simple!Titleholder Address <br /> JOB ADDRESS J a 0 A Q LOT# <br /> SUBDIVISION. <br /> UBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY.TAX NOTICE) <br /> WORK PROPOSED NEW.CONSTR ADWALT 0' SIGN = 0" DEMOLISH <br /> = INSTALL El <br /> PROP,.OSEI);USE 0 SFR Q '7COMM' 0 OTHER <br /> TYPE!-OF CONSTRUCTION' _` 'BLOCK 0 'FRAME = STEEL 0 <br /> DESCRIPTION OF WORK 8 - G� <br /> BUIL"1)ING'SIZE SQ`FOOTAGE� HEIGHT <br /> =BUILDING $ VALUATION'OF TOTAL CONSTRUCTION <br /> .i'al X <br /> ELECTRICAL $ /�^Q y AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> .=PLUMBING $ <br /> MECHANICAL IsVALUATION OF MECHANICAL INSTALLATION <br /> =GAS =. ROOFING- 0, SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS x FLOOD ZONE AREA =YES .NO <br /> i <br /> .BUILDER COMPANY <br /> SIGNATURE REGISTERED Y7 W. 'FEE CURREN - .. Y'/N. ' <br /> Address 'License# <br /> `ELECTRI,CIA . COMPANY <br /> _".:SIGNATURE REGISTERED Y/,W- L• Y/N. <br /> Address' /� `J ,/ License# `. ®D <br /> .r <br /> PLUMBER.1 COMPANY•, <br /> -SIGNATURE REGISTERED Y.-/ N, ' FEE CURREh Y/N <br /> Address License#;, <br /> 'MECHANICAL' COMPANY <br /> SIGNATURE '. REGISTERED Y/'N FEE OURRE�. Y/N <br /> Address:,;...; LicenseF777 <br /> .#: <br /> `COMPANY <br /> r'SIGNATURE -;,:; REGISTERED Y/.N FEE CURRE� Y/N <br /> Address�.. - :; - 'f License <br /> .;RE$IDENTIAI:a s; �AttacMPiot`P-.Iansr 2+eels of Buildin -Plans, 1 ,;set&Ener'y -Form§ R=;O="' Perriiit fornew,construction:. <br /> da' r w- <br /> ,. „g,:: y.afte�.sutirnittal�`date:4 equirW1drisite;Gonstrueti'on.Pians;Storrnwater Plans w/Silt Fence installed; <br /> :���:„. . • '`'� ` 'SanitaryftacilidesR&Y1�dumpster;`SiteWork Perm_it:farsutidivis'ions/large projects ""'_�•'• :. <br /> `.is:COf1AMERCIAL Attache(Z)complete sets of'Building Plans"plus a l.ffe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence.installed, <br /> Sanitary Facilities&.1 dum ster.Site Work l?eimit for alhnew,pr'jects:All commercial requirements must meet compliance <br /> A<SIGNPERIVIIT Attaa?i'{ )'sets;ofs`Engineered;Plans: j. <br /> `PROPERTY SURVEY required--for.all.NEW._,,constructon:. <br /> Fill. ut:application completely.~ Y <br /> t'7wner' Contradtorsign.back of application,notarized <br /> iry' If over:$2500;.a Notice of:Commencement is required. (A/C upgrades over$7500) <br /> ."' Agent(for'the-,contractor).,orPower of"Attomey(for`the owner)would"fie someone with notarized letter from owner authorizing same <br /> 7%OVER THE COUNTER`PERIIAITTING;_:::....;(copy of contractirequired)' <br /> Rer6. if shingles Sewers Service Upgrades.A/C Fences(Plot/Survey/Footage) <br /> :Driveways-Not over Counter if on public.roadways:needs ROW <br />