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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> ^^�� Building Department G ' L , o <br /> Date Received �G" Phone Contact for Permitting 7� J -`4 I` 1 <br /> 1 1 1 1 1 1 . . <br /> 1 1 1 1 1 <br /> Owner s Nametv-?Vr6l � + Owner Phone Number <br /> Owner's Address AfVI -t,-)r Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ,\'/ f f� <br /> JOBADDRESS \r L r ^ l !`LOOT## V <br /> SUBDIVISION Q V �T PARCEL ID# 7� �I—lJl/v.!) <br /> a� (OBTAINED FROM PROPERTY T.NO <br /> WORK PROPOSED a NEW CONSTR B ADD/CLT I J� ISIGN Q QDEMOLISH <br /> INSTALL REP T� <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK and <br /> FRAME = STEEL QX^',`(� (1 j� <br /> DESCRIPTION OF WORK �7t'�(/1 �N Ui S 1 CF •1 L I Duna VW J I J�,�+ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> BUILDING $/ GJ� VALUATION OF TOTAL CONSTRUCTION <br /> ='ELECTRICAL $ I 1 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> I - * ,517 <br /> =PLUMBING $ //v l QJ t <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 t)D�11/ C � <br /> =GAS = ROOFING 0 SPECIALTY = ,OTHER /J <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> BUILDER W)CREGISTERED <br /> OMPANY 1 1 g c `• ce <br /> SIGNATURE IIAra Y/ FEE CURREN I Y/N <br /> Address I WAd Av a/ License# Ckf—tZ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address I License# <br /> i <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIItlllllllllllllllllllllllllllllllllllllllllllllllllllllllllll <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 Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions large 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&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. (A/C upgrades over$7500) <br /> •' Agent(far 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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />