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813-780-0020 City of Zophoills Pdrmit Application FaX-813-780-0021 <br /> Building Department <br /> [law Received <br /> 7 Phone Contact for Permitting F( '50 pit <br /> Owner Phone Number <br /> Ownices Address 94A Owner Phone Number <br /> Fee Simple TMeholder Name Owner Phone Number <br /> Fee Simple ritleholderAddress <br /> JOB ADDRESS <br /> SUBDIVISION PARmwFil A& Z POW 135oa 0/5,0 <br /> (OBTAINED,FROM PROPEIM TAX NOTICE) <br /> WORK PROPOSED NEW CONST'llp!rADD/ALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DSSCR1Pr,'ON OFafn -. agt -r <br /> ico W 'd I)WG V-11 e-17A1JQ& ' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING <br /> �ECHANICAL 1$ 7f VALUATION OF MECHANICAL INSTALLATION <br /> CAB = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURRa <br /> Address F— License <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE cuRREt, I Y/N <br /> Address License <br /> PLUMBER COMPANY, <br /> SIGNATURE REGISTERED I Y/ N FEE CURREK L_XLNj <br /> Address License# <br /> MECHANICAL COMPANY: <br /> SIGNATURE REGISTERED Y/N <br /> AddressLicense# P ff Al- <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRM <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans,(2)sets of Building Plans,(1)set of Energy Forms;R-O-W Permit for now construckn. <br /> Minimum ten(10)working days OW submittal data. Required onsite,Conshuction Plans,Stormwater Plans vd Silt Pence installed, <br /> Sanitary Focilitios&I durripster;SAO Work Permit for subctivistormflarga projects <br /> COMMERCIAL Aftach,(2)compl6te sats,cf,suncting Plans'Plus as Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)wor"days after submittal date. Required onsite.Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new pmlects.All commaIdW requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plats, <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$2600,a Notice of Commencement is required. (AfC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the 0"Mar)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (COPY of contract required) <br /> Reroola if shingles-' Se— Servioa Upgrades,AfC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />