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City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> rmitting <br /> Owner's Name 0 Owner Phone Number C. <br /> Owner's Address Mappo Owner Phone Number <br /> Fee Simple Titleholder Name -sn my— Owner Phone Number <br /> Fee Simple Titleholder Address JOB ADDRESS :P,-,yf_I fl LOT#I I V <br /> SUBDIVISION PARCEL ID# 3 2 66 6Ot3 603t <br /> (OB1'AINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISH <br /> E!f INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> Ztpecl Ao DESCRIPTION OF WORK '5,mlp Ftwilm r-e s I <br /> BUILDING SIZE F_ SQ I FOOTAGEP?3 �'ff HEIGHT <br /> . . . . .. . . . . . . <br /> =BUILDING L c) VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING <br /> 1$ <br /> =M'EC I HANICAL $ coo VALUATION OF MECHANICAL INSTALLATION 7 <br /> =GAS ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS - -0 FLOOD ZONE AREA =YES NO <br /> �34 <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> COMPANY Irk <br /> BUILDER REGISTERED Y/ N FEft CURRE� Y/N <br /> SIGNATURE <br /> Address (00?- Mot cpr z r T4 P4 L Facb scrb�:z <br /> lGense# <br /> ELECTRICIAN 0, Eler::�� .1 <br /> COMPANY REGI <br /> STERED FEE C0RREN <br /> Address 1-34 01) s Phi-it ZoA4--rd License JEc-i-:� 0 63-11 S- <br /> 02 <br /> I "PLUMBER COMPANY 5Cin <br /> SIGNATURE 1 —.4 <br /> � :�e REGISTERED I Y/ N 'FEE WkRdh Y/N I <br /> Address License# IC E C 6 <br /> MECHANICAL COMPANY 1'v5s*N� A-IV, <br /> SIGNATURE, REGISTERED /*N FEE CURREN -J��/N <br /> Address 15-qID7 hon�'a 0WeVJJ4_�S_,) License# I (A cc), <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN 'L_Y_LN JJ <br /> Address F?1qS 3 License# 1 Cc 1 2-5-2 3.3 1 . <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;k-O-W Permit for'new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)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. I <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 Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />