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813-780-0020 City of Zephyrhilis Permit Application Fax 813-7s0-0021 <br /> Building Department <br /> Date Received r Phone Contact for Permlttin - <br /> Owner's Name ` I Owiner Phone Number <br /> flomes <br /> Owner's Address am U0 . ( ' Owner Phone Number �— <br /> Fee Simple Titleholder Nam® F Owner Phone Number <br /> Fee Simple Titleholder pAddress <br /> JOB ADDRESS 15 <br /> I r J5 LOT'* <br /> SUBDIVISION Q PARCEL ID# - I— I 0 100' W <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT' = SIGN- DEMOLISH <br /> R INSTALL ® REPAIR <br /> PROPOSED:USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION ® BLOCK " .� FRAME STEEL = <br /> DESCRIPTION OF WORK �V V� n5fa <br /> . <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> PLUMBING $ 1 <br /> =MECHANICAL $ + VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING :0 SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREF Y/N <br /> Address License# <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE REGISTERED Y/ N_j FEE CURREP <br /> Address License# ` <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/-N FEE CURREP I Y C <br /> Address ! License.# I L1 t) <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COAAPAPdY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> RESIDENTIAL Attach(2):Plof Plans;(2)sets of Building'Plans;(1)set of Energy Forms;R=0-W Permit for new construction, <br /> Minimum ten(1.0)w orking;days after:subriiittal date.-Required onsite,Construction Plans-,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities.&.l dumpster,Site—Work—Permit for subdivislons/large 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,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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized , <br /> If over$2500,a Notice of Commencement is required. (AIC 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 .-(Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if-,on public roadways..needs ROW <br />