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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> l Building Department <br /> Date Received Phone Contact for Permitting — l <br /> Owner's Name ���t G �.�U l c Owner Phone Number "7 4 - 1 <br /> Owner's Address l-'7- © Iv AVE-• Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS FS�4/40N � i � V LOT# <br /> SUBDIVISION O� f J3S PARCEL ID# 4_ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW COLSTR B REPAALT IR SIGN = = DEMOLISH <br /> 1 &0 INS <br /> PROPOSED USE ® SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q^ BLOCK 0 FRAME `�= STEEL = <br /> DESCRIPTION OF WORK :T'etoG � 6 v v 0 S 'SE 6 F �PP `d c-: ©Lks e:' \ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT lv J " l 0� 'L <br /> =BUILDING $ )1 000 °`� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ ! AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> I <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER f COMPANY <br /> SIGNATURE � � REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set ofEnergy Forms;R-OW 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(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:contractrequi�'ed); °r <br /> Reroofs if shingles Sewers Se/i(ic�e Upgrades /VC Fences(PlottSurvey/Footage) "''K!�;,,. ';_!fir•;;,, <br /> Driveways-Not over Counter if owpublic fbadways.:needs ROUV I_.•i " :•i;,:1 _ <br />