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City of Zephyrhilis Permit Application Fax-813-780-002i <br /> Building Department <br /> r <br /> Data Received ].Phone Contact for Permittine C) Q, <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Ou%er Pho!m%LMI:ler <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5 V�;t LOT# <br /> SUBOMSION 1M iC V-Ca �C3 PARCEL 10#1 <br /> 'OSTA'NED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CINSTRR ADOfALT SIGN r7 M DEMOLISH <br /> P INSTALL REPAIR <br /> PROPOSED USE n SFR M'MM <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK <br /> L BUILDING SIZE SO FOOTAGE= HEIGHT <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .=BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> I-- <br /> MIKUMBING 1$'a�- —xr e <br /> =MECHANICAL J$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 14- <br /> BL <br /> COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN I Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED Y/N FEE CURREN LZINJ <br /> Address License# I I <br /> PLUMBER COMPANY <br /> SIGNATURE FEE CURREN <br /> Address Ucense# <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License J_ <br /> OTHER COMPANY = <br /> SIGNATURE I REGISTERED I Y/N FEE CURREN I YIN I <br /> Address License# <br /> rrrrrrrrrrrtrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr <br /> RESIDENTIAL Attach(')Hot Plans;{Z)sets or bulKlIng I'lans,(1)set or I-norgy Forms,H-U-vv Ilermit for new construction, <br /> Minimum ten(10)woricing days after submittal date, Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivislonsilarge 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 now construction, <br /> Minimum ten(10)worldng days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl gift 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 all NEW Construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Olrecti .. <br /> FA c'_4 sppon=vor <br /> Owner&Contractor sign back of application,notarized <br /> V 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 /> DrIvoways-Not over Counter V on public roadways-needs ROW <br />