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City of Zephyrhilis Permit Application Fax-813-78"021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name 91, . 0'w'ner'Phluna Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple rdleholder Name Phone Numb-u <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> k NO PARCEL ID# <br /> SUBDMSION ,:Y <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW COMTR 8 ADDIALT SIGN r7 r7 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR M, 10A GTHE-11 <br /> TYPE OF CONSTRUCTION r7 BLOCK n FRAME Q STEEL <br /> DESCRIPTION OF WORK ne <br /> 7 <br /> BUILDING SIZE 1 S 0 FOOTAGE" HEIGHT <br /> . . . . . . . . . . . . . . . . . . .BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. <br /> &ZIPLUMBING $ <br /> =MECHANICAL J$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO, VVVVVV <br /> UU L <br /> COMPANY <br /> DO E"R <br /> SIGNATURE REGISTERED I Y/N FEE CURREN LiL—ffi <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN L_ILN J <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE.- _kEURRIEREDr�EE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTEq EDI Y/N FEE CURREN L <br /> _ILN J <br /> Address License# F— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEEGURREN I YIN I <br /> ---------- <br /> 'Address l I License# <br /> R9511JENTM Attach CZ)Hot Plans; sets or Liuilciing Plans;(1)set or Energy Forms;H-U-vv Permit tor new construction, <br /> Minimum ten(10)working days attar submittal date. Required onsite,Construction Plans,Stormwater Plans vd Silt Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivislonsilarga 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)worWng days after submittal date. Required onsite,Construction Plans,Stormwater Plans wf"I 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. <br /> PROPERTY SURVEY required for Ed[NEW construction. <br /> 1116 .. . . . . . . . . . . . . . . . . . . . . . . <br /> ollett"t <br /> Fiff out apocafiomocrnp-lateq: <br /> Owner&Contractor sign back of application,notarized <br /> 0 over$2500,a Notice of Commencement Is required. (AC upgrades over$7500) <br /> Agent(for the contractor)or Power ofAttomay(forthe owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract requited) <br /> Reroofs if shingles Soviets . Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />