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813-780-0020 City Of ZephyrhillS Permit Application Fax-813-780-0021 <br /> Building Department p <br /> Date Received z Phone Contact for Permitting .LF13 f 7 — r� <br /> + <br /> Ownees-Name ¢ �L e a'fi Owner Phone Number,..: <br /> Owner's Address 3 oZ Owner Ph Number',.' <br /> Fee Simple Titleholder Name I. �: Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS rI 3 Z. � �� � LOT# <br /> SUBDIVISION PARCEL.ID t o C6 <br /> j <br /> .- OdO <br /> tOBTAINED,FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ' NEW.CONSTR ADD/ALT Q SIGN. ':0. [ - DEMOLISH, <br /> R. INSTALL 8 REPAIR' <br /> PROPOSED USE Q SFR = 0 COMM OTHER , <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME ` STEEL 0 <br /> DESCRIPTION'.OF WORK <br /> BUILDING,SIZE :�- SCI FOOTAGE l J "i"cS� HEIGHT " <br /> "BUILDING.., $ f / � VALUATION OF TOTAL CONSTRUCTION <br /> b to ✓ <br /> =ELECTRICAL $ AMP.SERVICE. • 0 PROGRESS•.ENERGY 0 'W.R.E.C., <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION'OF.MECHANICAL INISTALILATION <br /> =GAS Q ROOFING SPECIALTY 0 OTHER, <br /> FINISHED FLOOR ELEVATIONS rr FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/'N ' FEE CURREh y -,Y/N <br /> i <br /> Address ` License.#,, <br /> ELECTRICIAN :COMPANY <br /> SIGNATURE REGISTERED:° Y/ N' FEE:CURREh_ .i Y/:N:-,:. .. <br /> Address License#,F. . <br /> -PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/,N FEE CURRER <br /> Address . ,License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE Cl1RREh Y%N' <br /> Address, License_#`' <br /> OTHER COMPANY,. . 4„i <br /> SIGNATURE REGISTERED. • Y- N "FEE CURREh <br /> Address, 1414-P ;2-,,5 <br /> RESIDENTIAL Attach'(2)-PlofPi6ns;(2)'sets'of Buiiding,Plaris;(I)''set af,Ehe'rgy.Foims R=0=1N;Permit.fo�new;construction; ' <br /> Minimum ten(10)working days after submittal date. Required onsite;Construction Plans,Stormwaiter Plans.w/Silt Fence1n61aII6dc`. <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdiivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets-of Building Plans plus a.Life Safety:Page;(1)set of Energy F.orms..R-O-W Permit for new coristruction.i <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.W6rk Permit for_all•new projects.All commercial requirements must meet.compliance . <br /> SIGN PERMIT Attach(2).seWof 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., (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.contract required)'' <br /> Reroofs if shingles Sealers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />