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813-780-0020 City of Zephyrhilis Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Receiv6d 1 r> Phone Contact for Permitting — <br /> Owner's Name 611116h; d��/Ff1 � Owner Phone Number �j � Ia <br /> Owner's Address 7X ! 4�?O'e I-ef-Wld Ae— Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number. <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT#- <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED,FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTIt ADD/ALT SIGN �:_. 0 DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q comm . �_ I OTHER 11 <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL 0 <br /> DESCRIPTION OF WORK 14 <br /> !%fZd <br /> BUILDiNGISIZE SO FOOTAGE HEIGHT <br /> OBUILDING $ �.. VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING <br /> ElkMECHANICAL $ pht? av VALUATION OF MECHANICAL INSTALLATION I!-OS <br /> =GAS Q ROOFING SPECIALTY OTHER ' <br /> FINISHEDIFLOOR ELEVATIONS FLOOD ZONE AREA =YES- NO � l j b" <br /> BUILDER; COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTEREDI Y/ N.41 . FEE CURREN <br /> Address License# <br /> -PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N. FEE CURREN <br /> Address . License# <br /> E <br /> MECHANICAL . COMPANY R;. y../N <br /> SIGNATURE, REGISTERED Y/ N FE <br /> G <br /> -Address, Lion' <br /> OTHER,". :, COMPANY' <br /> SIGNATURE REGISTERED / FEECURREA Y"/,N <br /> Address. license# <br /> -RESIDENT .IAL Attach:2 Plot Plans; 2`sets of-Buildin Plans;(1'').-set of EneryyForms;R-O-W Permit for new construction, <br /> Minimum ten:(10};working days after submittal date.'Reeiired onsite;Construction Plans,Stormwatgr Plans.w/Slit Fence installed,. <br /> Sanitary Facilities&1 dumpster;Site Work Permit for,4bdivisions/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 w/Silt Fence installed, <br /> Sanitary Facilities 91 dumpster:Site Work Permit forall`now projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach-(2)sets of Engineered plans. <br /> y ««««PROPERTY SURVEY required for'aII NEW construction. <br /> ---------------- <br /> +Directions; <br /> Fill out application completely. <br /> Owner,&.Contractor, sign back of application,notarized <br /> if over$2500,a Notice of Corrirrmencement is required (A/C upgrades over$7500) <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 /> Reroofs'if shingles Sewers Service-Upbrades A/C Fences(Plot(Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />