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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �-G phone Contact for Permittirr7402 <br /> - 2 1.7116 <br /> Owner's Name �� (t� Owner Phone u Qr <br /> Owner's Address ICJ Owner Phone Number <br /> Fee Simple Titleholder Name 1Avvi Owner Phone Number <br /> Fee Simple'Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# �� � II RM` <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW GONSTR A99/ALT ® SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Comm = OTHER <br /> TYPE OF CONSTRUCTION - Q, BLOCK FRAME LJ STEEL = <br /> DESCRIPTION OF WORK � 1 h <br /> ys <br /> 'BUILDING'SIZE SQ FOOTAGE �� HEIGHT <br /> ' EDgUILDING 2�4 <br /> E1E� (,I VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ ` <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 20C)3� <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> �r <br /> BUILDER COMPANY <br /> SIGNATURE r Y/ N I 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 <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> O.T.HER. COMPANY <br /> 'SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> RESIDENTIAL Attach.(2),Piot 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.(for the contractor).or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> -OVER:THE:000NTER.PERMITTING (copy of contract 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 />