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813-780-0020 City of Zephyrhilis Permit Application Fox-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> I <br /> Owner's Name Owner Phone Number !alq 7�a <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 335qQ LoTio JOB ADDRESS j!PL —1 <br /> SUBDIVISION PARCELID#11 ;�1—0010-017q0— QTrJO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK is, 6acc Sqi5�vn �.o�PA <br /> lop aym -3 <br /> BUILDING SIZE So FOOTAGE HEIGHT <br /> ,,�. . . . . . . . . . . . . . . . . . . . . <br /> UILDING VALUATION OF TOTAL CONSTRUCTION <br /> CHfI-ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY = W.R,E.C. <br /> =PLUMBING $ /0 <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES N <br /> . . . . . . . . . . . . <br /> oo, <br /> BUILDER COMPANY u&eom sca-c4-r <br /> SIGNATUREI REGISTERED I(Y/JN FEE-CURREN I Y/N <br /> Address AUA tA—CA License# I CQ cl sme2u I I <br /> ELECTRIC. COMPANY C�A <br /> SIGNATURE REGISTERED I(YUL FEE CURREN I YIN <br /> Address License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED YIN FEE CURREN LILN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN I Y/N <br /> Address License# <br /> !1 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plan",(1)set of E I I I I I I I I I I Energy Forms;R-O-W Permit for new construction, <br /> Minimum ton(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 subdivisionsnarge 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&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 /> ' t 'I <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> It over$2500,a Notice of Commencement 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 Upgrades A/C Fences(PloVSurvey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />