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813-780-0020 City of Zephyrhilis Permit Application Fox-813-78U021 <br /> Building Department <br /> Date Received 9 , ja Contact for Permitting <br /> ' r ILIl-Y <br /> Owner's Name Owner Phone Number ' <br /> owner.Add.. 1.1,7 5-7 Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 v Z le- e— LOT# <br /> SUBDIVISION F- PARCEL a MOCO,C)a I-Q1 90 <br /> (OBTAINED FROM PROPMalf TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE = SFR Q Comm OTHER I <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL = I <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE I = SQ FOOTAGE HEIGHT <br /> =BUILDING $ Q 149C) VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING F-1 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY MU( ZL SIGNATURE REGISTERED I Y/ N FEE CURRI21, Y N <br /> Address I TY(44 GCLO lkvd! License 4 <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I Y1 N FEE CURRIE.% L�N <br /> Address I License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED I Y1 N FEE CURREN <br /> Address F— I License# F- <br /> MECHANICAL COMPANY = <br /> SIGNATURE L REGISTERED I Y f N FEECURREN <br /> Address F I License# <br /> OTHER I COMPANY = <br /> SIGNATURE REGISTERED I Y/ N FEE CURM <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans,(1)set of Energy Forms,R-O-W Permit for now construction, <br /> Minimum ton(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 subdivisionsilarge,projects <br /> COMMERCIAL Attach(3)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)working days after submittal date. Required onsite,Construction Plans,Stonriviraftir Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.AN commercial requirements must meet compliance <br /> SIGN PERMIT )Attach(2)sets of Engineered Plans, <br /> "PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . A . . . . . . an <br /> Fill out application completely. <br /> Owner&Contractor sign back of application.notarized <br /> If over 92500,a Notice at Commencement Is required. (AIC upgrades over$7600) <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 /> Remofe if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter If an public roadways..neads ROW <br />