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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �2 <br /> 4 Phone Contact for Permitting CJ 'f' — <br /> rrrlm <br /> Owner's Name Owner Phone Number `5 `� ��3Z5 <br /> Owner's Address 1(,A_,8 ce aA 4L(!A" 9u:517NV-_-P Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address G '//� <br /> JOB ADDRESS �O 10U S T H!1 � Z� 4 •9& r 1 �� S T` LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTRM ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK e !Y' S M <br /> BUILDING SIZE I W SQ FOOTAGE= HEIGHT <br /> 1P BUILDING $ 1 L D 0 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION y <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER ( ,� f yip COMPANYjj�n <br /> SIGNATURE vv REGISTERED I Y/ FEE CURREN I Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <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 LILN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N _J FEE CURREN Y/N <br /> Address L License# <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 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 Pow,er.of:Attomey'(fot',tfie owner)would be Someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING ''`''(copy,of contract"required) <br /> Reroofs if shingles Sewers ; Seivice Upgrades:1A/C., ,'.;;Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counterif.on public roatlways..needs ROVU`" <br />