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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittln <br /> TrT-i' r"rr� <br /> Owner's Name 1 e_ tf�' ( Owner Phone Number <br /> Owner s Address ICE 1 Z1 owner phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS t LOT# <br /> SUBDIVISION PARCELION f!� �•�0' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT t� SIGN Q = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM tI�� OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL 0 <br /> DESCRIPTION OF WORK KebYILY _ W <br /> BUILDING SIZE �� SQ FOOTAGE] HEIGHT <br /> ,. T1'e'7�f't�l�f's"e'f�t'f'i"R#'eTITI�TfTttTC'1��e:'1"1"r'1�Pr.f71`T'Pt�PS�"rT1'T't�i't"1'T'.'ti•11'9'?'e"1-•t�l"�'T' ' <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING LI$' I �g <br /> =MECHANICAL $ q r 0 VALUATION OF MECHANICAL INSTALLATION <br /> 114 t� <br /> =GAS = L I ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> {.1.i•. . . . . .� <br /> BUILDER COMPANY <br /> SIGNATURE � REGISTERED I Y! N 'FEECURRER I YIN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN FEE 6URREt. Y!N <br /> Address License# <br /> 'PLUMBER COMPANY <br /> SIGNATURE. REGISTERED Y/ N FEE CURREN Y J N: <br /> Address C_ jj y� License# n ! <br /> MECHANICAL ` - COMPANY / .r fe, • ' fCIG` &' Peoco <br /> SIGNATURE REGISTERED I Y/ N FEE CURREI, I <br /> pY/JN - <br /> Address r©r &PY 130 t7 14d h V.a3 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y"/ N FEE CURREN Y I N <br /> Address License#F <br /> 1111111111ltllllllllll1111 ! ! lllllllllllltillllllfttltllllll / ttlilll <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 dale. Required onsite,Construction Plans,'Stormwaler Plans w/Sill Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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 data. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Altech(2)sets of Engineered Plans: <br /> •'•'PROPERTY SURVEY required for all NEW construction. <br /> .i-i,.i-I+i-i-t.� C.�'.�'-. Lam+`-5.,,-.' `-1-+-r:*�i-i.i-I-i-i-i-i-i-l-i.i-i-. . ..:•::. <br /> Direcllons: <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 contiscl required) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />