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813-780-0020 City Of Zephyrhilis Permit Application i•ax-tlla-fqu-uuzJ <br /> Building Department <br /> Date Received 1' Phone Contact for Permitting, !— <br /> Owner's Name Vmc(Rk <br /> 1 . Owner phone Number1:7 <br /> Owner's Address SO C. Qp k �L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS a �1 LOT# <br /> � <br /> SUBDIVISION ' I PARCEL ID# G t 310010 00300 ' V I" <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR a ADD/ALT Q SIGN Q MOVE DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q OTHER �y <br /> DESCRIPTION OF WORK �tS Ms P I{� S� ,(�0 d- <br /> BUILDING SIZE F SQ FOOTAGE I 0 I HEIGHT <br /> Q BUILDING $ 'VALUATION OF TOTAL CONSTRUCTION / (�Va _ aU <br /> �] ELECTRICAL (�$ AMP SERVICE Q PROGRESS ENERGY W.R.E.C, <br /> 0 PLUMBING ($ <br /> [� MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> [D GAS ROOFING. Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS "FLOOD ZONE AREA =YES =NO <br /> BUILDER l '` / �- - COMPANY <br /> SIGNATURE 1l ; <br /> 1 c, 'y REGISTERED YIN N FEE CURRENT��' f(Y J(N� <br /> Address ! M g L License I t;L 04�9 k� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURRENT Y J N <br /> Addres9) License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRENT Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRENT <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED F Y/ N, I PEE CURRENT Lyj N <br /> Address License# <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,Sto»nwater Plaits w/Sill Fence Installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivislons/iarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)sal of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sto»nwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work"Pi3mrilt for-all new projects.-Atl'commerc-sal requirements must meet compliance <br /> SIGN PERMIT Attach(2)seta of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> DIrectiD»s: <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$5000) <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 /> llernofc sewer4_`:Service.Uporades_ A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public readways..needs ROW <br />