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813-780-oo20 City of Zephyrhilis Permit Application Fax$13-7W-0021 <br /> Building Department Q 1 <br /> Data Received Phone Contact for Permitting V I✓) G� <br /> I-A <br /> Owner s Name A ^,' o;vner Phone Number /3— O Q <br /> 44 <br /> Owners Address M AQAd FU Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 h0 v�i /��7�ry qq LOT##//ff ,y� <br /> SUBDIVISION PARCEL ID#FP d4i / !lh M 1 S5 944 40 . <br /> -/ (OBTANED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW LbtLs�Tt�ADD/ALT = SIGN = 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION Q f'BLOCK 0 FRAME may= STEEL = <br /> DESCRIP'GON OF WORK T A00, % <br /> BUILDING SIZESQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING Is <br /> =MECHANICAL $ �//Qjl VALUATION OF MECHANICAL INSTALLATION <br /> T flJ� <br /> =CM = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED YIN FEE cuRREn Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE L REGISTERED I Y/ N I FEE CURREn Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn L Y/N <br /> Address 71 SyLicense# <br /> MECHANICAL COMPANY �J <br /> SIGNATURE LL1_1 h� G^7 REGISTERED Y/N FEE URREP Y!N y <br /> Address / —M License#EO 19 f <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURRen Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit for new construction, <br /> Minimum ten(10)worldng days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Sit Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMINERWAL 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)worift days after submittal date. Required onsite,Construction Plans,Stomrwater 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 /> Direcu= <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$25W,a Notice of Commencerneird Is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or'Power of Attoinay(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. Semrs Service Upgrades.A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Canter if on public roadways..needs ROW <br />