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813-7e0-0020 City of Zephyrhilis Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 7 <br /> Owner's Name 0. Owner Phone Number <br /> / �1 I Owner's Address of/��� CC�S+ �C�1 !Z Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address F__ <br /> JOB ADDRESS L� � aIG Gee zC' " la LOT# <br /> SUBDIVISION lyy PARCEL ID# �o t✓tC9S�d"C10�b`( 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR Q l ADD/ALT C� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM 0 OTHER <br /> TYPE OF CONSTRUCTION = BLOC�-K�^ = FRAME = STEEL QJ <br /> DESCRIPTION OF WORK y f �' e r <br /> BUILDING SIZE F_ SQ FOOTAGE 7ir.S O HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL I$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $�-_-_-� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> E-LECTRICIAN COMPANY <br /> SIGNATURE __ REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> SLUMBER COMPANY <br /> 31GNATURE i REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# F_ <br /> iAECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address License# � <br /> )THER f Pm:�_cOMPANY yv r t/; <br /> 31GNATURE REGISTERED Y/ N FEE CURREN LILIN <br /> Address ,0Rox1 to L� l FI 3g-o c/ License# �' 7f <br /> �32 <br /> i <br /> tESiDENTIAL 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/Silt Fence installed, <br /> Sanitary Facilities&;1_dumpster;Site Work Permit for subdivisions/large projects <br /> .OMMERCIAL Attach(3)complete sets Of Building Plans plus a Life Safety Page;(1}set of Energy Forms.R-O-W"Permit for new constriction. <br /> Minimum ten(10)working days after submittal date. Required 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)sets of Engineered Plans. . <br /> "*'PROPERTY SURVEY required for all NEW construction. <br /> Ilrectlons: <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 /> IVER THE COUNTER PERMITTING (Front of Application Only) <br /> ;eroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />