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813-78MO20 City of Zephyrhilis Permit Application FaX-813-780-0021 <br /> Building Department <br /> Date Received I-X 0 <br /> Phone Contact for Permitting A <br /> Owner Phone Number <br /> . . . . . . . . .. . <br /> owner's Namev �,A )c 4-11S <br /> Owners Address I I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simp is Titleholder Address <br /> JOB ADDRESS LOT#bL <br /> SUBDMSION \�j r-C.In-I C-) i PARCEL ID#F—' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN r7 M DEMOLISH <br /> P INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM = OTHER <br /> TYPE Of CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> HEIGHT <br /> =BU <br /> ILDING Is VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.P-F C. <br /> PLUMBING $5E, <br /> =MECHANICAL F-1 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN LILN J <br /> Address I Ucense# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I Y/N FEE CURREN LILN J <br /> Address License#I I <br /> IC <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address # <br /> MECHANICAL <br /> COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CuRREN �N <br /> Address License F— <br /> OTHER COMPANY = 7 <br /> SIGNATURE REGISTERED I YIN FEE CURREN LILN J <br /> Address _7 License# <br /> tttttttttttttttttttttttttttttttttttlttttttetttttttttttttttttttttttt <br /> Ft95IVENTtqL Attaon(z)Fiot mans;(z)sets or wunaing mens;(1)set or i=nergy Fors;H-u-vv Permit tor new construction, <br /> Minimum ten(10)working days after submittal date, Required onste,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivislonsirlarge 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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&I clumpster.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 /> al. one. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> Agent ftr the contractor)or Power of Attorney(forthe owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs If shingles Sewers . Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter 9 on public roadways-needs ROW <br />