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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Perm)ttln ) - <br /> rrr rrr rr` Tn�-r <br /> owner's Name MkC-IL 16 v_`f- Owner Phone Number <br /> Owner's Address ,9 W% S OHO Owner Phone Number {� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address t <br /> JOB ADDRESS yLNX^t_-a'ns1� �6 LOT# <br /> SUBDIVISIONljr) • oLS PARCELID# ^eke \-M30-000M- <br /> (OaTAIMM FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONS R ADD/ALT SIGN 0 Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE = SFR COMM t..J OTHER <br /> TYPE OF CONSTRUCTION = BLOCK `` FRAME = STEEL = <br /> DESCRIPTION OF WORK ` Y1 �\ e ci <br /> BUILDING SIZE O k I O SQ FOOTAGE HEIGHT <br /> BUILDINI, S V V VALUATION OF TOTAL CONSTRUCTION <br /> EZELECTRICALy0,' S 2�?� AMP SERVICE PROGRESS ENERGY Q W.R E.C. <br /> =PLUMBING S ^_ <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION Cf/� <br /> =GAS = ROOFING = SPECIALTY I_..._J OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILD COMPANY rvan fie' <br /> SIGNATUR J REGISTERED Y N FEE CURREA Y/N <br /> Add S 335 License# QX <br /> ELECTRIC COMPANY ( '■ pLt-k p F-J C C-+-V-t L <br /> SIGNATURE REGISTERED Y N J FEE CURREA I Y/N <br /> Address a1 01 License# <br /> PLUMBER COMPANY <br /> SIGNATURE I Y/ N FEE CURREt, Y!N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I YIN FEECU(RREEN <br /> Address License# I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn Y!N <br /> Address License# <br /> rrrrlltlrlrlrlrrrrrrlllrrrrlrrrr � rrlllrrlltlrlrrrlrlllrrrllrrlrrllrl <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0 W Permit for new construction, <br /> Minimum ten(1 D)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 Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater 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 of Engineered Plans. <br /> —PROPERTY SURVEY required 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 (AfC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(forthe owner)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 A/C Fences(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />