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813-780-0020 City of Zephyrhilis Permit Application Fax 813-780-002i <br /> Building Department <br /> Date Received Phone Contact for Permittin <br /> "-Alsip <br /> Owner's Name UI 11 x.tY Owner Phone Hurrsber <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 112)a5w Ne5wacck Lly) LOT a <br /> PARCEL 100 a[Q- a I- (ptDD- CMM _pS-j�@ <br /> SUBDIVISION l(J�C]6) �� <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT- SIGN DEMOLISH <br /> R INSTALL Fj REPAIR <br /> PROPOSED-,USE SFR M - COMM- OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK - ED FRAME 'STEEL <br /> DESCRIPTION OF WORK wvio on <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> 4444444444 <br /> L__JBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> P SERVICE <br /> =ELECTRICAL PROGRESS ENERGY W.R.E.C. <br /> $ AM <br /> 1�6 PLUMBING <br /> I' LAM -0D <br /> =MECHANICAL 1$i VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ........... <br /> A .11 .............. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILNLJ <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# F— <br /> PLUM BER COMPANY fflcnaL-it_Dq AYV)Q�by) i <br /> SIGNATURE REGISTERED I Y/ N. FEE CURREN I Y/Kj <br /> -'0 <br /> Address LL71b License#'I IL I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y=/ N FEE qURREh <br /> Address License# F <br /> OTHER -.COMPANY <br /> SIGNATURE REGISTERED Y/ N . FEE CURREN <br /> Ad-dress License# <br /> ------------- <br /> RESIDENTIAL:- Attach(2),Plot'Plansf(2)sets of-1361kift-Plans;(1)'s6t ofEnsrgy+:Forma;R-O-W Permit for new construction, <br /> 'MInImum.ten,(-1P),wqZn.g%days afters6brhlttai'dat6.:-ReqUirLzd onsite,!.ConstnictidwPlan%,Storm water"Plans W Silt Fence installed, <br /> Sanitary Facillfles.&I.dumpster,,Site-Work:Permit for subdIvislonsfiarge projects+ <br /> COMMERCIAL Attach(3)complete sets of Building Olan's 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&I 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 /> IIIIIAIII 11 11111 <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),or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING .-(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..'ria'ads ROW <br />