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813-780.0020 City of Zephyrhilis Permit Application Fax-813aeo-0o21 <br /> Building Department <br /> Date Received f <br /> Phone Contact for Fermitttna QL <br /> owners Name `fit < Owner Phone Number <br /> Ownees Address (� Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ` \Vt LOT.# .� <br /> SUBDIVISION 1 T C3 PARCEL 10# <br /> (OBTAINED FROA1 PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR AOD/ALT SIGN Q = DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SiZE SO FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> LUMSING try <br /> C T—�%E-=,h <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY u OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN LX1 N <br /> Address License# C� <br /> PLUMBER n COMPANY \Q� 'Cb� <br /> SIGNATURE REGIeTeREO Y N FEE CURREt, Y/N <br /> Address . �rT_—+ 1 v 10 License# UFF 1Q G) <br /> MECHANICAL COMPANY <br /> `SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllll <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,Stonnwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsrtarge 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,Stonnwater Plana w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects,Al 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$7600) <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 /> Reroors if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..neads ROW <br />