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813-780-6020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Re calved <br /> � , Phone Contact for Permittin .� <br /> �_ <br /> tit -7 5�`f7� <br /> Ownara Name M_L' /tl /� Owner Phone Number <br /> Ownets Address' S�� e4� t i e i. Owner Phone Number <br /> Fee Simple Titleholder Name owner Phone Number <br /> Fee Simple Titleholder Addrepe <br /> JOB ADDRESS %4 ! `7° LOT# t� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TA%Notice) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM OTHER <br /> TYPE DECONSTRUCTION = BLOCK. 0 -FRAME t_.J STEEL <br /> DESCRIPTION OF WORK TAB <br /> BUILDING SIZE I SQ FOOTAGE, HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ "' AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING. $•,.... t <br /> MECHANICAL $:"' ' GIG VALUATION OF MECHANICAL INSTALLATION " <br /> =GAS = ROOFING Q• SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE _ REGISTERED �I Y7 N I FEE CURREh Lyl N' <br /> Address License# ' <br /> ELECTRICIAN'. COMPANY <br /> SIGNATURE ll REGISTERED - YIN I FEE dUriREh' Y I N <br /> Address Ucen"se# <br /> 'PLUMBER i oep <br /> SIGNATURE Ro fEEcuRREk Y/NM <br /> Address license# <br /> �cTr•3 ' .. \ COMPANY <br /> MECHANICAL A L Tleeh kl y1 <br /> Y/N • FEECURREN t XY c�/N' <br /> SIGNATURE' REGsTEREO Ucense# G <br /> Address .. ..,. <br /> OTHER COMPANY <br /> SIGNATURE' REGISTERED Y'/N' PIE C:dRREN•" Y/N ' <br /> Address License# <br /> t i'i t i l i l'I l l i <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)working days after submittal date. Requited onsite,Construction Plans,'Stormwater Plans w/Silt Fence installed, <br /> Senllery Facilities&1 dumpster;Site Work.Permit for subdlvislonsQarge projects <br /> COMMERCIAL Attach(2)complete Sets of Building Plane plus,a'Life Safely Page;(1)set of Energy Forms.R-O-W Permit for new constfucllon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w(Slit Fence Installed, ' <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all now 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 /> Dirscttone: - . <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 contiact required) <br /> Reroofs If shingles - sewers Service Upgrades_AIC Fences(PIpUSurvey/Footage) <br /> Driveways-Not over Counter.if on public roadwayS..needs ROW .: . <br />