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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date'Recelved f d a�jr Phone Contact for Permitting V 0 <br /> Owner's Named �/ S Owner Phone Number o/ <br /> Owner's Address J p lJ f� Owner Phone Number <br /> Fee Simple'Titleholder Name Owner Phone Number <br /> Fee Simple,Titleholder Address <br /> j�-� t <br /> JOB ADDRESS �b > LOT# r 7 <br /> SUBDIVISION i © ; s PARCEL ID# -0.3FO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN = = DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION De BLOCK FRAME = STEEL =. <br /> DESCRIPTION-OF WORK ✓�� c <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =B,UILDING $ <br /> ! 3SO VALUATION OF TOTAL CONSTRUCTION <br /> =',ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> 0; , CHANICAL $ VALUATION OF MECHANICAL INSTALLATION !- <br /> ME <br /> C.0'' <br /> =,GAS = ROOFING 0 SPECIALTY OTHER7 <br /> a <br /> 0 <br /> FINISHED!FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO ° "` IOU /n� <br /> EJ <br /> BUILDERI; COMPANY <br /> SIGNATURE REGISTERED / W FEE CURREt, <br /> I ' i <br /> Address .>� �� 6/`� License <br /> ELECTRICIAN � aS COMPANY 4 <br /> ' r <br /> SIGNATURE REGISTERED N 'FEE CURREN I YIN' <br /> Address t7 / !! ,� , ' �� �� License# I C O <br /> PLUMBER: _ COMPANY /CIO <br /> SIGNATURE " I REGISTERED FEE CURREN Y/N'• <br /> Address 2 (// 33c/ License# �g 3 <br /> MECHANICAL COMPANY' " <br /> SIGNATURE REGISTERED Y./ N. ` .FEE•CURREN <br /> Address License# <br /> OTHER;,:; COMPANY <br /> SIGNATURE, REGISTERED Y/ N FEE CURREN.. Y/N <br /> .Address License# <br /> . <br /> RESIDENTIAL Attach 2 RIot;Plans;.,2 sets.of Buildin Plans;,1. set of Ener <br /> (.,). . ..( ),.. 9 �O 9y.Forms;•R=0:-1N.Permitfor.new.construction„- <br /> Minimum ten('10)•working days aftersubmittal-date:Required'onsite,Construction Plans;-Stormwatee'Plans if/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects " <br /> 'COMMERCIAL Attach(2)complete sets of BuildinggPlans 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.,,-R_equired 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),setsof.Engineeeed Plans.. <br /> `""PROPERTY.SURVEY required for all NEW construction. <br /> ---------------------- <br /> Dire&fions: <br /> Fill,out application completely. <br /> Owner&Contractorsign: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 Power of Attomey(for the'owner)would be someone with notarized letter from owner authorizing same <br /> OVER4HE•COUNTER:PERMITTING (copy.of contract required) <br /> Reroofs:if shingles Sewers Service Upgrades A/C ' Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> . f. <br />