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813-780-0020 City of Zephyrhilis Permit Application Fax 81 3-780-0021 <br /> Building Department ii Date Received Phone Contact for Permitting D-1 <br /> ownees mama �M)011_ am Owner Phone Number <br /> Owner's AddressHww U) C�j��e55 _ 5f Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number F <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS DawSw EMSe Dy - LOT 0 <br /> —1 aU- 0 1 - 0 1 ) L) C)0000- SaGID <br /> SUBDIVISION ve_v- PARCEL 1w;I_aq- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED MEW CONSTR ADD/ALT SIGN Q Q DEMOLISH <br /> .R INSTALL 8 REPAIR <br /> PROPOSED USE = SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE 30 FOOTAGE= HEIGHT <br /> =BUILDING. 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> PLUMBING $r ( 0c) <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ........................... ......... ... ... <br /> 11 1 1111 1+1+i+I+H4+1-H HHHH111-1 - <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YINJ FEE CURREN . I 'YIN <br /> Address License <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N. FEE CURREN LXLN�j <br /> Addy-ass License <br /> ..........................HIH <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 ten(10)working days After submittal date. Required onsite,Construction Plans-,Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&l.dumpster-,Site Work Permit for subdill6tislonsfiarge 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&I 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 /> 4-1411141111111111111 ll - <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. (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 , (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 />