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813-780.0020 City of Zephyrhilis Permit Application Fay 813 7840321 <br /> Building Department <br /> i <br /> Date Received Phone Contact for Permitting <br /> n - rr-t-f <br /> Owners Name Owner Phone Number <br /> Owners At Owner Phone Number <br /> Fee Simple Titleholder Name owner Phone Number <br /> Fee Simple Titleholder Andress <br /> LOT# IO lTS `1� <br /> JOB ADDRESS rr <br /> SUBDIVISION - �C G.p� PARCEL lOdr <br /> ( IO6rA01Eb FROM PROPERTY TAX NOTICE) <br /> e WORK PROPOSED new cowsm ADWALT Q SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK' �Q FRAME Q STEEL <br /> DESCRIPTION OF WORK eLJ <br /> BUILDING SIZE I SCI FOOTAGE HEIGHT C� <br /> =BUILDING i S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL ': s AMP SERVICE Q PROGRESS ENERGY Q W.R E.0 <br /> PLUMBING=MECHANICAL j $ VALUATION OF MECHANICAL INSTALLATION / <br /> =GAS Q ROOFING Q SPECIALTY Q OTHER i <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> BUILDER , COMPAIVY <br /> SIGNATURE REGISTERED YIN FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURRED Y!N <br /> Address t, license# <br /> PLUMBER / COMPANY <br /> (l1COV SIGNATURE REGIsreREo N FEECURREI Y! <br /> Address C) <br /> MECHANICAL COMPANY <br /> SIGNATURE YIN I `EEt'VMV.1- 7 f lY <br /> Address l Licunse# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREI, LILNLJ <br /> Address F 7, 'cease a <br /> IIIIIIIIItlltllllllllll / IIIIIIl11111I1111111111111111t1111111111111 <br /> RESIDENTIAL Attachj(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 onsee,Construction Plans,Stonnwater Plans wl Silt Fence installed, <br /> Sanilaiy Faulilies&1 dumpsler,Site Wink Permit for subdivislonsAarge projects <br /> COMMERCIAL Ahachl(2)complete sets of.Building Plans plus a Life Safety Page;11)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)worving days after submittal date. Required onsite,Construction Plans,Slormwater Plans wl Sill Fence Installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Pennil for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach'(2)sets cf Engineered Plans. <br /> *PR r OPERTY SURVEY required for all NEW construction, <br /> . . . . . •ttl 1 •a • laf..�tt • t.aa• . / . <br /> Directions: <br /> Fin out application co npiwely <br /> Owner a Contractor sign back of apptcat.ion.notarized <br /> If over$2600,a Notice of Commoncomom Is required. (AIC upgrades over$7600) <br /> •' Agent(for the contractor)of Power of Attorney(for the owner)would be someone with notarized letter from owner autnoradng same <br /> OVER THE COUNTER PERMITTING (cops of contract required) <br /> Reroofs if shingles SiMers Service Upgrades NC Fences(PlobSurveylFootage) <br /> Driveways-Not over Counter If on pualic roadways.,neeas ROW <br /> r _ <br /> i <br />