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813.780-0020 City of Zephyrhilis Permit Application Fax-813780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittingp <br /> Owners Name G/ �_ G Owner Phone Number b r g <br /> Owner's Address �, /7 .7 1/� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Q►'r`r" LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OUTAIr®FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK eUAC ti„ I le-6 r vN <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING Q <br /> 0ECHANICAL $ 0� VALUATION OF MECHANICAL INSTALLATION <br /> 76=GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YESI NO Iq <br /> BUILDER COMPANY <br /> SIGNATURE I REGISTERED I YIN FEE CURREn Ly/IN <br /> Address License# <br /> ELECTRICUIN 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 %0�I <br /> SIGNATURE / / REGISTERED Y/ N FEE CURREN )Y/N ��✓ <br /> Address 0(o V 0)I Ste' �L ,i License# Z/_7 G 03-7 a <br /> OTHER COMPANY <br /> SIGNATURE I RECI5TT3rED Y/N FEE CURREn I 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 onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsnarge 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.AO commercial requirements must most 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. (AIC 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 contract required) <br /> Remote if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drivoway"ot over Counter if on public roadways..needs ROW <br />