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813-780.0020 City of Zephyrhiils Permit Application Fax-813a80-0021 <br /> Building Department <br /> Date Received <br /> x ��Phan*Contact for permittln i��a � <br /> !'�I' <br /> Owner's Name ( Owner Phone Ntmnher <br /> Ownses Address Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number l <br /> Fee Simple Titteholder Address <br /> JOB ADDRESS IV 01—)` t �—^ LOT# C� <br /> SUBDIVISION F1 PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX Norm) <br /> WORK PROPOSED e NEW CONSTR 8ALL REPAIRT r�.J SIGN 0 = DEMOLISH <br /> INSPROPOSED USE Q SFR 0 COMM C OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL [ ] j <br /> ..----+ <br /> DESCRIPTION OF WORK 'i t _ <br /> \v(� <br /> BUiLDiNG SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING �� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> MPLUMBINO <br /> r—IMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I <br /> =GAS [J ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY —� <br /> SIGNATURE REGISTERED �I YIN FEE CU(R jaEn�CY <br /> Address r License#( ! <br /> ELECTRICIAN I COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURREA /N <br /> Address License# I I <br /> PLUMBER �,�1/!, COMPANY <br /> SIGNATURE �1+7' M z !' � REGISTERED Y N FEE CURREN I YIN <br /> Address 1 aQ rr 1a Licanse# "� L� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREt I Y/N <br /> Address License 0 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address License# <br /> ItttltlltiltIIIlI1IIItiltiltllttilttliittllllt ! lItll�tttttltltiitltt <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 Plana w/Slit Fence Installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsttarge 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,Stomtwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all now projects,All commercial requirements must most compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans, i <br /> **"PROPERTY SURVEY required for all NEW construction. <br /> Dlrecllont <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement Is required. (A/C upgradoa over$7600) <br /> �• Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized tatter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remots if shingles Severe Service Upgrades AiC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter 9 on public roadways.,needs ROW <br />