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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department -f e�^ <br /> Date Received g�L phone Contact for Permittingl 3 ! d- Q- 69 t) uQ <br /> 13 Owner's NameThomas \ \ Owner Phone Number 8 1 <br /> Owners Address S I LL4 �'� r �� S Nv'bwner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address (� 1 <br /> JOB ADDRESS S a kQA \ ` nn R 3 35 LOT# <br /> SUBDIVISION PARCEL ID# 11 'of b' I-G vIO - 3 -d 13b <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/A Qr SIGN = = DEMOLISH <br /> e INSTALL a PAI <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Pb FRAME = STEEL <br /> 1 = <br /> DESCRIPTION OF WORK eLz I P 'CDL4 <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION-OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ #We t " i/( �(� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS E:2') ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO �C♦�i <br /> BUILDER COMPANY Ca C i <br /> SIGNATURE REGISTERED I Y/N FEE uRREn Y/N <br /> Address Ctq 1{ l0AvJr ' License# Ct'JC-'US$13 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREP L11 N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA LILN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREn LILN <br /> I <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111 <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/Slit 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 Fortes.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.She 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 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(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />