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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owners Name A"MOVLA OLDve,.­ Owner Phone Number <br /> Owner's Address tie1'4AUC' Af" 4124f_�' YJ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> I LOT# F,_;�3 3A I <br /> SUBDIVISION PARCELID##1 It 2w( —00 10—o I q0cl— clo'zz <br /> (OBTAINED FROM PROPERTY TAX NOTIM <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN Q = DEMOLISH <br /> R INSTALL 8 REPAIR <br /> PROPOSED USE 0 SFR = COMM OTHER F__P✓44 i <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEELSy <br /> r <br /> DESCRIPTION OF WORK �Tc C441-v- <br /> BUILDING SIZE 50 FOOTAGE HEIGHT <br /> E . . . . . . . . . . . . <br /> BUI�DING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> O�MECHANICAL i$ U3*.:aA VALUATION OF MECHANICAL INSTALLATION <br /> =GAs Q ROOFING F__1 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES No <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREr, <br /> Address F_ License#F_ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, <br /> Address License# I <br /> MECHANICAL COMPANY X'r -� <br /> SIGNATURE ':�� I REGISTERED %N FEE CURREN I LYIILN <br /> Address 15q&o 5-AA, l2 E.,_ Pl- 333k-( License# Ctqe_0-57,ft <br /> OTHER COMPANY [ I <br /> SIGNATURE REGISTERED Y1 N FEE CURREN LKLN J <br /> Address License# <br /> IIIIIIIIIIIIIilllllllliltlilltlllllllllllltllllllllllllltllllllllll <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)worldng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I 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 Forms.R-O-W Permit for now construction. <br /> Minimum ten(10)worldng days after submittal date. Required ansite,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 /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . .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(Plot/Survey/Footage) <br /> DrIvewaWNot over Counter if an public roadways..needs ROW <br />