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813-780-0020 City of Zephyrhilis Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 1( <br /> .................... . <br /> Owner's Name 0 1."Iil Owner Phone Number 31Z <br /> Owner's Address 5$-0 Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 143/01 so— Y301 G LOT# <br /> SUBDIVISION )370-"f PARCELID#1 0��O —5VZ D) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONsTRR ADDIALT SIGN DEMOLISH <br /> e INSTALL 'REPAIR <br /> PROPOSED USE Q SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRANE 0 STEEL <br /> DESCRIPTION OF WORK owf <br /> BUILDING SIZE F_ I SO FOOTAGE HEIGHT <br /> .......... ................ <br /> =BUILDING 1$ VALUATION�OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> [-----MECHANICAL J$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING F__1 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LKLN_J- <br /> Address License,# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License J <br /> MECHANICAL' COMPANY <br /> SIGNATURE' REGISTERED FEE CURREN LKLN J <br /> Address License# FOar,lz*,�5Z <br /> OTHER' COMPANY <br /> SIGNATURE., REGISTERED 1 . Y/ N_J FEE CURREN <br /> Address License J <br /> ,RESIDENTIAL Attach(2).PlbfPlans,(2).Sets bfiBuilding"Plans;(1)set of Energy.Forms;R-O_W Permit.for new.construction, <br /> .Minimum ten:(110)workin6 days after subm ittal.date. Required onsite,Construction Plans,Storriwater Plans w/Silt Fence installed, <br /> Sanitary Faciliti-es:&.1durn pster;Site Work.Permit for subdivisions/large projects <br /> COMMERCIAL Attach,(2$complete sets of Buildlrig'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 submittal:date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster.,Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> 'SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> ............. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(16r"the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (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 />