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813-780-0020 City of Zephyrhilis Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Phone Received Contact for Parmittin DI 19 <br /> rrrrrrrrrrr ................. ...... L <br /> Owner's Name Owner Phone!dumber <br /> Owner's Address 4 Owner Phone I <br /> _CQf fS5 5 -Number- <br /> Fee Simple Titleholder Name- -Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS i&oDC_."V LOT# <br /> SUBDIVISION 5TIV67C-1do PARCELIDJUM AQ_(91- DN-0-DC)50D- 01A I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADDIALT SIGN Q Q DEMOLISH <br /> INSTALL F-1 REPAIR <br /> PROPOSED'VSE 0 SFR 0 COMM 0 OTHER I <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK. <br /> BUILDING SIZE F Sta FOOTAGE-L_____J. HEIGHT <br /> =BUILDING $ VALUATION`OF TOTAL CONSTRUCTION. <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> PLUMBING <br /> 1$ 1 eCID V**\ -co <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER. <br /> FINISHED FLOOR ELEVATIONS �.� FLOOD ZONE AREA [ YES NO <br /> 1 @@IIIH 11 1.1 AJjg- H+H+fH4+H44+ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN LILN�j <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y N,- I- .FEE cuFVTA 1 N <br /> Address viem ?Nd License iltC. b— nqa5'� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED. <br /> Y=/ N - FEECURREN- <br /> Address + License#.F_ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED PEECURREK <br /> Address License# <br /> RESIDENTIAL,- Attach-(2)jpId[,P-Iahs-,(2)Sets of66IIdIn"g',#I s;-(I)'idiof-En'ergy-�Fo'ff-ns';'R4)-'W Permit for new construction, <br /> _ ' - *Minimum-ten,(.10)wqrkfqg,�'days-;after.66bifi1ttai'dat6.:Req'uliedoniltii.'-Cohd clilon 01eins Stormwater;01 ana vd Slit Fence installed, <br /> Sanitary Fapilltles&_1-,duMpsWjSIte Work Permit for subdivitkinsfiarge projects,COMMERCIAL Attach(3)Complete sets.of Building Olairis plus a Life Safety Page;(i)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 wl Slit Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all now projects:All commercial requirements,must meet compliance, <br /> SIGN PERMIT Attactf(2)'siits ofEh-qih6oriicfPlinsi - <br /> ""PROPERTY SURVEY required for all NEW construction.. <br /> Directions.Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement 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 -(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter It.on public roadways..niitei:16 ROW <br />