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813-780-0020 City Of ZephyrhillS Permit Application Fax 813-780-0021 ' <br /> Building Department <br /> i <br /> Date Received ^ _ . <br /> ��/� Phone:Contact far'Pernittttng ! <br /> Owner's Name el/Ir to Owner Phone Number j <br /> cc <br /> Owner's Address J c,Jl Owner Phone Number �� K <br /> Fee Simple Titleholder Name' Owner Phone Number <br /> Fee Simple Titleholder Address <br /> i; <br /> JOB ADDRESS on LOT# <br /> r C� - t11�n <br /> SUBDIVISION � �� PARCEL ID# V — L9 1, �o 00W00" <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW-CONSTR ADDIALT• � SIGN' 0 � DEMOLISH <br /> El INSTALL 8 REPAIR <br /> PROPOSED:MSE 0 -SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK ' .0 FRAME STEEL Q <br /> DESCRIPTION OF WORK- `� �lC� ) <br /> BUILDING SIZE SQ FOOTAt;E HEIGHT <br /> { <br /> BUILDING �. VALUATION:OFTOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PRQGRESS ENERGY W.R.E.C. <br /> PLUMBING <br /> $ 1.1111�C1 i <br /> =MECHANICAL $$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING _0 SPECIALTY. OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES. NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N 'FEE CURREN Y/N <br /> Address <br /> License# <br /> ELECTRICIABd ._ COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREfi` <br /> Address Licenses F7� <br /> PLUMBER COMPANY L V y +f <br /> SIGNATURE zx� REGISTERED Y./-.N: FEE cuRREfi ' N. <br /> Address �,t + (✓{ License# Oqc <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED., y . Y./ N . . .. FEE CURREfi: Y 6 N <br /> LIcenPe# F77 <br /> OTHER GOi1APANY <br /> SIGNATURE v. 'REGISTERED ' Y/ N.:, FEE CURREN <br /> Address Licarse# �` � <br /> RESIDENTIAL,'= •Atta&(2);PIot;P.laiis,(2)sets=of.Bulldlfig�Plai s;(1)sat of Eneigy Ooims;RrO-W Permit f6i new canstruc iori <br /> "_Minimum:#en{10)woricingaysater;submittal date. Required onsite;Consfiucticsn=Plans,Stcimwater Plans w/Siff Fence installed, <br /> Proj <br /> Sanitary Facilities; l:dumpster,,Site•:Work Permit forsubdivision ptr9e' ects: - <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/Slit Fence installed, <br /> I <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new_projects.All commercial requlrements.must meet compliance <br /> SIGN PERMIT Attach"(2)`sets of Eh§ eeredJParis:. ' <br /> 'PROPERTY-SURVEY required.for all,NEW construction. <br /> Diiectlo41 ne: <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(far the•owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING -(Fmntof-Application Only) <br /> Reroofe if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter Won public roadways..hieds ROW <br /> 1 <br />