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813-780-0020 City of Zephyrhilis Permit P pplication Fax 813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Pe mlifing <br /> ownses Name 16m'o, <br /> 5- Ow i air Phone Number <br /> Owners Address Ow i or Phone Number <br /> Fee Simple Titleholder Name Ow or Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS =L EtW 016c D,(I LOT 0 EJO DIL <br /> SUBDIVISION Ii0-en 9il1i PARCEL too aq— 01 t D rM-ow- 0 1 a-D <br /> OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT IGN DEMOLISH <br /> , R INSTALL R REPAIR <br /> PROPOSED USE Q SFR COMM .THER <br /> TYPE OF CONSTRUCTION Q BLOCK 0FRAME TEEL <br /> DESCRIPTION OF WORK 10"', 1 g) ac� <br /> BUILDING SIZE SO FOOTAGE= 'EIGHT <br /> =BUILDING. 1$ VALUATION OF TOTAL CON TOUCTION <br /> ®ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> EPPLUMBING $ f e% <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> [ GAS ROOFING 0 SPECIALTY THER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES NO <br /> ..... ................ ...... <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 N FEE CURREh <br /> Address I License <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED N FEE CURREN <br /> Address License# LAC.262 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> Y SIGNATURE REGISTERED / N , FEE CURREN <br /> Address License# <br /> ........................ <br /> +H+H+H+H* <br /> RESIDENTIAL Attach(2)Plot.-Plans;(2)sets of Building.Plans;(1)set of Energy-Forms.;R­ -W Pemnitfor now construction, <br /> Minimum.ten,(10)working days after submittal date.-Required onsite,Cons ction Plans;,Stormwater'Plans w/Slit Fence installed, <br /> Sanitary Facilities-&.1 duimpstel;Site-Work Permit for subdivisionsfiargeprojects <br /> COMMERCIAL Attach(3)complete sets of Building Plains plus a Life Safety Page;(1)set ol�Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working dayff after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all now projects.All mmerclat requirements must meet compliance <br /> SIGN PERMIT Attach(2)Sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> 111111141111111 Rill I 111l 111191 11'1114111111111111111111110 1111.1 P <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 note'zed letter from owner authorizing same <br /> DVER 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 public roadways..needs ROW <br />