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813780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department. <br /> Date Received Phone Contact for Permittin a -10%c% <br /> Owner's Name "InHkn Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee SimplaTifleholder Address <br /> JOBADDRESS LOT* <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTA ADDIALT r--J SIGN r7 r7 DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE r--J SFR COMM r--J OTHER I <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK C-L' <br /> BUILDING SIZE I = SO FOOTAGE HEIGHT <br /> LiSU . . .. . . . . . . <br /> ILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> '1;;EIPLUMBING <br /> ;y <br /> r7MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 Roomw Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY E: <br /> SIGNATURE F REGISTERED I YIN I FESCURREN Lyj N J <br /> Address License# <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED YIN FEE CURREN L_yj N <br /> Address U=Se#I <br /> PLUMBER COMPANY <br /> SIGNATURE 62,a� REGISTERED FEE CURREN L.XLN_j <br /> Address 'NQUil? Ucense# <br /> MECHANICAL COMPANY <br /> SIGNATURE F REGISTERED Y1 N FEE CURREN I YIN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEECURMN <br /> Address I License III <br /> 1111111111111111111111111111111111 fill 11111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans:(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 Piano w/Slit Fence Installed, <br /> Sanitary Facilities&I dumpater,Site Work Permit for subdivistonsfiarge projects , <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufa Safety Page;(11)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/Slit Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of ftineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> Fig out application completely. <br /> Owner&Contractor sign bark of application,notarized <br /> If ever$2500,a Notice ofactrunartcomant to required. (AIC,uparadco ovor*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 (copy of contract required) <br /> Rarooftil'shingles Sowers Service Upgrades A/C Fences(Plot'Survey/Footage) <br /> Driveways-Not over Counter 9 on public roadways.,needs ROW <br />