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813-78M020 City of Zephyrhilis Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin <br /> TT ) <br /> -TTI-T F r z n'i <br /> Owners Name ^r -IL16 C- Owner Phone Number <br /> Owners Address O! e'7`i 5 Oroo Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 4 2 <br /> -�15 <br /> JOB ADDRESS eY�N4 4L LOT �T <br /> SUBDIVISION . a.�� PARCEL ID# kf-&1- <br /> (O8rAINED FROM PROPERTY TAX NOTiCEt <br /> WORK PROPOSED NEW CONSTR 8 ADDIALT = SIGN = = DEMOLISH <br /> ® INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK ` FRAME = STEEL = <br /> DESCRIP71ON OF WORK \ e d <br /> BUILDING SIZE O SO FOOTAGE® HEIGHT <br /> BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL S 80 O AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING S (, <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER � ll <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> - - - - - - - - - - -- <br /> BUILDER COMPANY W7Qtr1 �eS <br /> SIGNATURE �y.� yREaGisTERt� Y N FEE CURRE^A Y/N <br /> Address 37 License# lr <br /> ELECTRICI r1� RCOMPANY Eiz R 1 e /�t <br /> SIGNATURE / <br /> Address ( a License# <br /> PLUMBER COMPANY <br /> SIGNATURE RcotsrEReD Y/N FEE CU(RREA�Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEECURREI, Y!N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE i REGISTERED Y/N FEE CURRE7. LXLN <br /> Address License# <br /> IIIIIIIIIIIII0111t11111l111111111l111 { IIIIIIIIIIIIII1111111111111l1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;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 installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Farms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stermwater Plans w/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 of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> Diracttons:e <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AfC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for theowner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs If shingles Sewers Service Upgrades AIC Fences(PIotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />