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813-780-0020 City of Zephyrhilis Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's Na,me Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simplelitleholder Name F Owner Phone Number <br /> Fee Simple'Titleholder Address <br /> JOB ADDRESS Fniu cam&-, ?aAi 6-,� 0­1 -2- <br /> 4 6 LOT# <br /> SUBDIVISION F PARCEL 5 113#5E_ -J� - M <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> co L WORK PROPOSED NEW NSTR ADDIALT SIGN DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE 0 SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0« BLOCK FRAME 0 STEEL <br /> PTI. a4-A <br /> DESCRI 'ON-OF WORK <br /> `BUILDINGISIZE SO FOOTAGE= HEIGHT <br /> N i 2 i i i i 2 i i 2 i Vv I i i i 2 i N a i I o i <br /> =BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL• $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PWMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION- <br /> =PAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> HHHHH Hill i i III v is v i lHitilil 1H,IIHIIH HH oil HI!HH2 i a i i i <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED L_KLN _J FEE CURREI, <br /> Address License <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED, LKLN_J FEE CURREl, <br /> Address, License# F--. <br /> PLUMBER, COMPANY <br /> SIGNATURE REGISTERED -1 Y/ N`­1 FEE CUMiE� <br /> Address License# <br /> MECHANICAL COMPANY. .. <br /> SIGNATURE REGISTERED L <br /> _Y,/ N,_J <br /> FEE,CURREh <br /> F-7— <br /> Address License <br /> ..OTHER,, COMPANY <br /> SIGNATURE RED Y. .,FEE,tURREh Y N <br /> t__7 REGISTERED <br /> Address Eep <br /> F. License# FEEI <br /> ............ ...... <br /> 'RESIDENTIAL A ack,(2)PlotPlani;:j2y,sets o'fa Building Plans;;(J.).set.of En e rgy Forms; t-�671iVzPeffnlf fbinew.constructom. <br /> M nllum tan'60Wbrdhbdays ii SUbmittal;date. RequIr6d%onSIt6,Conskruct!on PlansStormwate?Plans Slit Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisidnsfiarge 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 /> MInImu[rn'ten(.10),working da after'submittal date. I3e*6ired onsite,Construction Plans,.;Stormwater Plans w/Slit Fdhcd installed, <br /> days ". P, <br /> Sanitary.Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMITAttach(2)1F6tsofEngineered Plans:: <br /> **"PROPERTY.iSURVEY'required for all NEW construction. <br /> Fill'outapplication completely. <br /> owner&C6ntractorsigntack-of application,,notarized <br /> Af•over$2500,a Notice of.Commencement Is required. (A/C upgrades over$7500) <br /> Agent.(forthe contracto or.Power-of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THECOUNTEk PERMITTING (copy of contract required) <br /> :1446.oftff shingles -Sewers ServiceVogrades AIC Fences(Plot(Stirvey/Footage) <br /> Driveways-Not over Counter If on public roadways-needs ROW <br />