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813-790-OOM City of Zephyrhil(s Permit Application Fax-613-76M21 <br /> Budding Department <br /> Date Received phonsconta forPermtIffna <br /> Owner's Name d <br /> owner F bon.Number <br /> Owner's Address Owner Phone Number <br /> Fee simple Titleholder Name <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOTS! <br /> SUBDIVISION -,I e PARCEL ID# <br /> (OBTAIIIED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW COMTR r7 R ADDIALT r--7 SIGN r7 M DEMOLISH INSTALL REPAIR <br /> PROPOSED USE iSFA <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK (-C <br /> BUILDING SIZE I SR FOOTAGE1 I HEIGHT <br /> . . . . . . . . . . <br /> =BUILDING is VALUATION OF TOTAL CONSTRUCTION <br /> r Lec-rsucAL AMP SERVICE Q PROGRESS ENERGY W.R.E,C. <br /> &ZIP'LLIMSING <br /> =mrzcHAmcAL Is VALUATION OF MECHANICAL INSTALLAMON <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> SUILDER COMPANY <br /> SIGNATURE L_LLN J FEE CURREN Ly --J REGISTERED LN <br /> Address f License# <br /> ELECTRICIAN p COMPANY <br /> SIGNATURE I REGISTERED I Y/N FEE CURREN <br /> Address License#F <br /> PLUMBER COMPANY <br /> SIGNATURE hEU.SIERED (L.!—Ir-N—J— FEE CURREN <br /> Address Licens <br /> MECHANICAL COMPANY <br /> SIGNATURE 1 REGISTEREa YIN FEECURREN <br /> Address License# <br /> OTHER COMPANY F- <br /> SIGNATURE REGISTERED I YIN FEECURREN <br /> —7 ff <br /> Address License <br /> HNNIOENTIAL Aftacti,(2)Plot Plans;(:d)sets or t3unoing Plans;(1)set or tnergly i-orms.H-O-Vii Permit for new construction, <br /> Minimum ten(10)worWng days after Submittal date. Required onsite.Construction Plans,Stormwater Plans W Sift Fence Installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivistonsilarge 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 /> Minim ulm ten(10)working days after submittal date. Required onske,Construction Plans,Stormwater Plans%W Sift Fence Installed. <br /> Sanitaly Facilities&I dumpster.Ste Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Ahach)(2)sets of Engineered Plans. <br /> ...PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . .. <br /> Pill OL-1 applicaVc-n.ccrnpletaly. <br /> Owner&Contractor 4.1gri back of application,notarized <br /> If over$2600,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(tor the contractor) <br /> or Power of Attorney(forthe owner)would be someone with notarized letter from owner authorizing same <br /> I <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Raroofs If shingles 84 wers Service Upgrades A/C Fences(PbVSur vey/Footage) <br /> Driveways-Not over Counter IT on pubic roadiAzils-needs ROW <br />