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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department 3 <br /> Date Received <br /> Phone'Contact'for Permitting <br /> Owner's N ' e �` ` Owner Phone Number <br /> Owner';-1Addfei5W a _ t'1, S 1 Owner Phone-Number , <br /> Fee SimplelTitleholder Name-' Owner'Phone Number- <br /> Fee Simpid TitlBholder Address" ' 1 <br /> JOB ADpRiiss oZ t �' � M 1.��I IS I L.L�� LOT# <br /> SUBDIVISION PARCEL-ID#: <br /> (OBTAINED FROM PROPERTY.TAX NOTICE) " <br /> WORK PROPOSED NEW CONSTR' ADD/ALT �' SIGN Q" = DEMOLISH <br /> I <br /> R <br /> INSTALL a REPAIR <br /> PRO.P..OSED:USE- = SFR 0 COMM = OTHER <br /> TYPE!.-OF CONSTRUCTION BLOCK 0 'FRAME = STEEL Q <br /> DESCRIPTION.O VIIGRKt >�•; (A, i CA. N <br /> v. <br /> BUILDING;SIZE SQ'FOOTAGE HEIGHT <br /> ,i..9. <br /> QBUILDING.rf---- $ 1 _ VALUATION'.OF TOTAL CONSTRUCTION <br /> =EzLECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E•C. <br /> =F4 UMBING $ <br /> k � , <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> i <br /> =GAS Q ROOFING" 0 SPECIALTY. = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 8UILDER� �Q ---`�_-_ COMPANY` <br /> _=- `V- <br /> SIGNATURE REGISTERED Y-/ N- ' `FEE'CURRE� Y/N <br /> Address License# <br /> :. ELECTRICIAN. COMPANY_ <br /> SIGNATURE REGISTERED Y/ N FEE CURREn <br /> I <br /> Address - License"# <br /> I <br /> PLUMBEtt€. COMPANY <br /> SIGNATURE _ REGISTERED L Y./'N .1 FEE CURREN J.LY/N <br /> Addr®ss License#,: <br /> -.MECHANIG�11: COMPANY. <br /> SIGNATURE,` <br /> REGISTERED "Y/.N FEE:CURREN _" .' Y F N, ' <br /> License.# <br /> OTHER; `:s COMI?ANY <br /> ` 'SIGNATURE :r ?..:_- = REGISTERED Y/:N FEE-CURREN Y/N <br /> Address =License'# <br /> .:. . <br /> RESIDENTIAL.;:;. ;Attach.(2)P:;Iot.Plans;:(2)sets:of;Bullding Plans;(1)aetof'Energy Forrris;"R=Q=1N:Pe.''miitfor'new`.constiiiction,.' <br /> r. <br /> ,'» Mmimum ten(10)uyorkmg;:daq$;afte�sutiriiittal:hate:'Requfired`orislteCoristnictton Plans,StorinwaterPlans w/Silt Fence"installed; <br /> Sanitary°,Facilities, lkdgmpster;Sife;;WorkPermit_for'subdivtsions7large:pro jects'_ <br /> `COMMERCIAL Attach>(2)'cdmplete5sets of`Building`Plans plUs's Life Safety Page;(1)set of Energy Forms.R-O-W Permitfor'new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.installed, <br /> "- Sanitary Facilities&.1 dumpster,"Site Work Permit f&alhnew:projects.All commercial requirements must meet compliance <br /> SIGNI PERBHIT 'Attach'( )sets;gf Engineered Plans:.. <br /> _.. <br /> ****PROPERTY SURVEY.required__.for.alLNEW:construction." <br /> 144- <br /> >Fill-:out application completely. <br /> 'OwneC 'Contractor:sign.back of application,notarized <br /> If over;$2900;-a Notioo-.of:Gommencement is required. (A/C upgrades over$7500) <br /> �::•::;;, Agent`(forthe`��'or Power:of•Attomey(for'the owner)would be someone with notarized letter from owner authorizing same <br /> ''OVER;THE COUNTER_ PERMITTING" :.(copy of::contractxequired).: <br /> , i§roofs;ifshingles tl 'Sewers Service Upgrades A/C Fences.(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public;ioadways::ibeds ROW <br />