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813-780-0020 City of Zephyrhilis Permit Application Fax 813-78D-0021 <br /> Building Department <br /> Date Received 10?116([VIO H Phone Contact for Parmittinft <br /> Owner's Na.. Owner Phone Number <br /> Owner's Addressl a 5W Owner Phone Number- <br /> 0 <br /> Fee Simple Titleholder Name'T_ Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS M 5D +I[A I W 'DV, LOT# <br /> 0 1 M C= <br /> SUBDIVISION I "odey) hy V] PARCEL 11381af)-a L <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADD/ALT Q SIGN- 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED:USE 0 SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> ............ .. <br /> =BUILDING 1$ VALUATION.OF TOTAL CONSTRUCTION <br /> ®ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> E�PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ............ ...............A....... <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address License# F- <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE REGISTERED L_Y/ N FEE CURREN <br /> Address License# F_ <br /> PLUMBER COMPANY vccDn kRigc4t <br /> SIGNATURE <br /> RLk I(A REGISTERED Y/* FEE CURREN <br /> Address lqroll be+iII.M. M , I License# Dq a 5 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1,.Y/ N FEE CURREN <br /> Address License#'F <br /> OTHER <br /> COMPANY <br /> SIGNATURE REGISTERED 1" Y/ N., I FEE CURREN L_YLN J <br /> Address License# F_ <br /> ..............!HH <br /> RESIDENTIAL Attach(2),PI6t-_Plans;_(2)Sets of 9UIIdin_rg'Pl.&hs`(1)set of Energy Forms;R-O-W Permit for now construction, <br /> Minimum ten(10)world g� ays after,subinittal�Iatfi.�Required oni'1t6.--Cohst�6cton'0Ians;.Stormwater 01B_s w/Slit Fence Installed, <br /> I . . . .q 4 n <br /> Sani6ryF�kciliUes..&,l::duMpster.,-$Ite-work Permit for subdivisionsfiarge projects'- <br /> COMMERCIAL Attach(3)complete sets of Buildirig Plans plus's 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 onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)'sats of Engineered Pliars., --- <br /> 'PROPERTY SURVEY required for all NEW construction, <br /> 111,1111115111 <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> ff Over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(far the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING .-(Front of Application Only) <br /> Rerooft If shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if-on public roadways-needs ROW <br />