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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received LA Phone Contact for Permitting- 01 <br /> Owner's Name Owner Phone Number <br /> Owner's Address14 U00 W Z:),T Owner Phone Number <br /> Fee Simple Titleholder Name- Owner Phone Number F <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 'Pad a) u%-cet LOT 0 <br /> SUBDIVISION FS1 w&act() PARCELID010E)- aQ-(91- M1Q—C)DLJD3 -01LID1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR F__1 ADDIALT_ SIGN DEMOLISH <br /> e INSTALL F__1 REPAIR <br /> PROPOSEMUSE Q SFR COMM OTHER I <br /> TYPE OF CONSTRUCTION u BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE So FOOTAGE HEIGHT <br /> "444444444444 <br /> L__JBUILDiNG $ VALUATION OF-TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> E2fPLUMBING I$ 0o I <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 9 <br /> =GAS Q ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ............. ...... .... <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED L_IL NJ FEE CURREN <br /> Address Llwnse# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREN LLLNJ <br /> Address License# <br /> PLUMBER � � COMPANY q\V-Vl, (( 0) <br /> SIGNATURE REGISTERED I Y/ W I.- FEECURREI, L_YLN <br /> Address License# F <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED _Y/=N FEE 9URRFN <br /> Address License# F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I' Y/ N.- I -FEE CURREK <br /> Address F_ License#F <br /> 4+H+H+ ............................... ........... imp <br /> RESIDENTIAL- 'Attach(2)Plot Plans;(2)sets of Building.Plans;(1)set of Energy.'Fo s;R-9-W Permit for now construction, <br /> Minimum ten(10)wqrking days after submittal dal:6..Required onsiter,mConstruction4Olans;.Stormwater Plans wl Slit Fence Installed, <br /> Sanitary Facilities*&.I.dumpster,,Site Work Permit for subdivislons/large"projects,' <br /> COMMERCIAL Attach(3)complete sets of Building Plains 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$2500,a Notice of Commencement Is required. (A/C upgrades over$7600) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING ,-(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if an public roadways..-needs ROW <br />