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813a8a0020 City of Zephyrhilis Permit Application Fax 813-780-0021 <br /> Building Department f G �1 <br /> ate Received '� Phone Contact for Permitting-. �E aD1 — OS c i <br /> rrm <br /> Owner's name L V C s Owner Phone Number <br /> Owner's Address woo W l� � C� Owner Phone Number <br /> Fee simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS [5a,53 �l J+�V LOT# <br /> SUBDIVISION PARCEL ID# a -a U . a 1 - o 10 o - 00000- ►a U o <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT' �] SIGN' _ = DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED:USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION Q1r1/ BLOCK 0 FRAME IQ STEEL = <br /> DESCRIPTION OF WORK 1 1 in ` '( I f o 6 <br /> BUILDING SIZE SGI`FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION- <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING .0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURM Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt, ' Y/N <br /> Address ^ / pLicense# <br /> PLUMBER C/ COMPANY <br /> SIGNATURE REGISTERED I Y/. N• FEE CURREP /N <br /> Address License# - Ma a -1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI,: <br /> Address License#. <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED F Y/ N .-I FEE CURREP <br /> Address License# <br /> RESIDENTIAL, Attach(2)PIof.Plans (2)sets of.Building.Plans;(1)set of Energy,Forms;R-0-W Permit for new construction,. <br /> Minimum.ten,(10)working days after,submittai'date: Required onsite,Construction Plans;Stonmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities.&.1.dumpste_r,.;Site Work Permit for subdivislons/large projects. <br /> COMMERCIAL Attach(3)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&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. (AIC upgrades over$7500) <br /> '* Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER 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 an public roadways-n®eds ROW <br />