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813-7e0-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittingg }} - <br /> 1"I�r .... . R <br /> Owner's Nama —y Owner Phone Number 13 <br /> Owner's Address l t aim. [�f� ���r�c r Owner Phone Number <br /> Fee Simple Titleholder Name L Owner Phone Number <br /> Fee Simple Titleholder Address l)_� <br /> JOB ADDRESS CpAVE. Zk_p6r_hJ15, 44, .33574aLOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR= ADDIALT SIGN Q = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Cr�� OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME l�.J STEEL = <br /> DESCRIPTION OF WORK V . L(r=d #14 r <br /> BUILDING SIZE SO FOOTAGE L�J HEIGHT <br /> =BU{LOING �. VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING, <br /> MECHANICAL $ (,1Q VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING =, SPECIALTY l�.J OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ._. . . . : . . . . . . . <br /> BUILDER COMPANY ' <br /> SIGNATURE C REGISTERED I YIN 'FEE CURREN <br /> Address License#F_� � <br /> ELECTRICIAN- COMPANY <br /> SIGNATURE REGISTERED I Y i N FEE CURREN Y!N <br /> Address License# <br /> PLUMBER R OMPAN D L Y i N ' FEE CURREN <br /> SIGNATURE <br /> Address License# n( � P61,5 <br /> i ?t <br /> MECHAMCAt� COMPANY k.t" iaak �y;L-e-5 !?-i- (`Gt St?0 <br /> SIGNATUREv. REGISTERED I Y i N FEE CURREN I Y/N <br /> Address License# t <br /> OTHER, COMPANY <br /> SIGNATURE t REGISTERED I Y I N 'FEE CURRgh" Y/N <br /> Address License# <br /> Illlllli'IIP11111111l1 !'1 ! 1 ! ! l11.i1111llittitl.ililtllililili'tiltil'till <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 subdivisionsilarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plana 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 wi 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 /> It 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 contiact required) <br /> Reroofs it shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />