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.813-780-0020 City of Zephyrhilis Permit Application Fax 813-7s0-o021 <br /> Building Department <br /> Date Received Phone Contact for`Permittin Its <br /> O 1QD <br /> t'O <br /> Owner's Name es Owner Phone Number <br /> Owner's Address CUM cJ Owner_Phone Number <br /> Fee Simple Tlileholder-Name Owner Phone Number <br /> Fee Simple TitleholderAddress pp <br /> JOB ADDRESS f c - LOT# <br /> SUBDIVISION C ) a�if {< `PARCEL iD# .a I 0010 - OD300—CaD <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT' �] SIGN p DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED.USE 0 SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 'STEEL Q <br /> DESCRIPTION OF WORK S(1` <br /> BUILDING SIZE SO FOOTAGE o_ HEIGHT <br /> QBt1lLDING $ � VALUATION''OF T_01A L CONSTRUCTION <br /> [ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $�1 n _0l <br /> V�L ( I . <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION t <br /> =GAS . CJ ROOFING ,0 SPEClAI.TY. OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES. NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED LINN FEE CURREP <br /> Address License# ( <br /> ELECTRICIAN - COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE�'' _,Y/N <br /> Address Ucense#:•1,. <br /> PLUMBER COMPANY 1. . W <br /> f `-� <br /> SIGNATURE" t REGISTERED Yl.N. ,FEE cuRm---C - /_-/N/� <br /> Address l d, License# C/' V E �a <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED: Y.I N. . FEE CURREn: Y/-N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE - REGISTERED '�Y/ N:.._ ...FEE CURke, Y/N <br /> Address - License#F � <br /> RESIDENT AL , Attatch(2).Pio€Planst:(2}sets'.of Bulldiii Plans;{:1}seti of Eiiergy'1=orms;R=O-W Pe <br /> .... ... <, ,... rmitfornewconstrucfioa,. <br /> M!PIT um#eny(10):w9rkiitgydays;after•;subMIttai date::Required onsite;"Construcffon-Pians;StamiwaferPians w/Siit Fence Installed, <br /> Sanitary Facilltles;8;1:dumpster,Site:Work Permit for subdivision"s.Qarge-protects <br /> COMMERCIAL Attach(3)com'tiplet6 5ats of Bt iidlrig Plans ows a Life Safety Page;(1)set of Energy Forms.ROW Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stomtwater Plans wl Silt 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 afEng3eereid:Plans:. <br /> ..".PROPERTY,SURVEYregulred for all NEW.construction.. <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: .(AIC upgrades over$7500) <br /> Agent(for the contractor)'orPower of Attomdy(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE.COUNTER PERMITTING -(Front-of-Appiicadon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PloUSunrey/Footage) <br /> Driveways-Not over Counter If.on public roadways:.nseds ROW <br />