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813-780-0020 City of Zephyrhilis Permit Application, Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting 1( <br /> owner's Name C Owner Phone Number <br /> Ownses Address Owner Phone Number F-------- <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee SimptaAtisholder Address <br /> JOB ADDRESS kG4�_ 2kr <br /> LOT# <br /> SUBDIVISION N\j e CC, 0 PARCEL IONJ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT r_7 SIGN r_7 r7 DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER I <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK t-"_ <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> . .ff; . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .UILDING I—, VALUATION OF TOTAL CONSTRUCTION <br /> r__JELECTRICAL AMP SERVICE r__1 PROGRESS ENERGY Q W.R.EC. <br /> MPLUMBING <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> MGAS M ROOFING r7 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . .. . . . . . . . . . . . . . . . <br /> BUILDER COMPANY = I <br /> SIGNATURE i REGISTERED I YIN FEE CURREN L_XLN J <br /> Address I License 0 <br /> ELECTRICIAN I COMPANY = <br /> SIGNATURE REGISTERED I YIN I FEE CURREN LILN J <br /> Address :1 License#I I <br /> PLUMBER COMPANY 9(-6% 1 <br /> SIGNATURE REGISTERED N FEE CURREN I YIN <br /> CDC- r'_1 znu it I <br /> Address License# UF <br /> MECHANICAL COMPANY <br /> SIGNATURE F REGISTERED I Y/ N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED I YIN FEECURRM Lj!N J <br /> Address License A <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 Plans w/Silt Fence insisted, <br /> Sanitary Facilities&1 dumpater,Site Work Permit for subdiviefiniallarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(i)set of Energy Forms.R-O-W Permit for new con*ucuon. <br /> Minimum ten(10)working days after submittal date. Required onsita,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 /> Dt..a ..7 <br /> Fig out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement is required. (A/C uparatics 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 (copy of contract required) <br /> RemorsifshInglea Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> DrIvewa"of Over Counter 9 on public roadways..neads ROW <br />