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a13-780-6020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date-Rocelved ,Prhone Contact for Pemiittin <br /> Qwner s Name r ty ON Owner Phone Number v� !)3 5-S�r� <br /> Owner's Address <br /> 51 1 )IL1 h S kiwf Ze ( i is Owner Phone Number <br /> Fee Simple Titleholder Name C `Owner Phone Number <br /> Fee Simple Titleholder Address (� j j r y �,,L ` <br /> JOB ADDRESS 'SRO / {[�-F� !�C'X�T Y� �!�!S LOT# <br /> SUBDIVISION. PARCEL iD# `�'�"`� !—00 O`er •00—0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR 8 ADDIALT [ SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR. 0' COMM C�. OTHER <br /> TYPE OF.CONSTRUCTION = BLOCK Q FRAME STEEL Q <br /> •DESCRIPTION OF WORK it Gha�► �/'� ��� ^� i ' <br /> BUILDING SIZE '�� SQ FOOTAGE HEIGHT <br /> ... <br /> •BUILDING � VALUATION OF TOTAL CONSTRUCTION' <br /> ' <br /> $... ...,. n._;._..� '' ••. 1. '. <br /> =ELECTRICAL ($ AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING. <br /> F-71ME&HANICAL 0 <br /> VALUATION OF MECHANICAL INSTALLATION <br /> 00 <br /> =GAS Q ROOFING Q. SPECIALTY C� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> 'SIGNATURE REGISTERED � � YIN N FEE CURRtih � Y)N <br /> Address License# t <br /> ELECTRICIAN- COMPANY <br /> SIGNATURE �' REGISTERED Y! N FEECURREn YiN <br /> Address Ucense# <br /> 'PLUMBER. COMPANY. <br /> .. SIGNATURE REGISTERED Y/N' -- FEE CURREN' - `Y/N•. - - <br /> Address — . License# <br /> MECHANICAL ` COMPANY !� ��� SPCf/oGeS (J; SGC� <br /> - SIGNATURE' REGISTERED Y/'N FEE CURRER Y i N" „ <br /> . <br /> .. - .. <br /> Address 01 q . . . 0I -k,t j6 Ucense# ` l 15 <br /> OTHER COMPANY , <br /> SIGNATURE' REGISTERED I Y"1 N' 'FEE CURRER" YI N • •. <br /> Address License# <br /> 0 !'t If 'I l"I 1_1"1 11 1 !t't•I.1 1 1 i I l'! 1 ['1 I I 1.1 i it 1 r t l l i 1 1 0.1 1 1 I 1 P I i i h <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 onsile,Construction Plans,`Stormwaler Plans wl Silt Fence Installed, <br /> Sanitary Facilities&'i dumpster,Site Work.Permit for subdivisionsAarge 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 onsile,Construction Plans,Stormwster Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster.Sife 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 consiruction. <br /> Directions:• ' <br /> FIII out application completely.. <br /> Owner&Contractor sign back of application,notarized. <br /> If over$2500,a Notice of.Comrnencement Is required. (AIC 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 COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades.A/C Fences(PIpt/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> j. <br />