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SM780.0020 City of Zephyrhilis Permit Application Fax-813-780.0021 <br /> Building Department �i C DateReceived Phone Contact for Permitting..n-l-rrr-ri• <br /> Owner's Name ( Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number ^, <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOCI �v 1� `LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT LJ SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [_] SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION WTI <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> =MECHANICAL $ L•� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CUIRREEN Y!N <br /> Address License#l <br /> ELECTRICIAN COMPANY <br /> SIGNATURE v REGISTERED I Y/N FEE CURREA Y!N o <br /> Address License# I <br /> PLUMBER COM ECb_ <br /> SIGNATURE `(� '�+ a REGISTT EREDERED Y N FEE CURREP I Y/N <br /> Address ��• °y _-r A <br /> n b^ License# Lt�7C9 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y I N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn Y/N _ <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 ansite.Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 qumpater;Site Work Penult for subdivlsionsllarge 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 Plana w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans, <br /> —PROPERTY SURVEY required for all NEW construction. <br /> [Directions. 1 1 Li.ili i t 4i A i l ■ ■ +.■..+1��1 1 1 1 41 <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> Ir*vor$2900,a Notice of Commencoment is required. (AIC upgrade*ovor 3Y600) <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 ifshingles Sewers Service Upgrades NC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> , <br />