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613-78MO20 City of Zephyrhilis Permit Application Fax-813-78MO21 <br /> Building Department <br /> Date Received Phone Contact for Permitting Fti�a ):j L 0-t <br /> . . . . . . <br /> Owner's Name Owner Phone Numbs; <br /> Owner's Address Owner Phone Number 7-7 <br /> Fee Simple Titleholder Nam. owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# C' <br /> SUBDARSION PARCEL 10#1 (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE M SFR r7 Comm, OTHER <br /> TYPE OF CONSTRUCTION M BLOCK 0 FRAME = STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCr10N <br /> . . . . . . . . . . . . . . . <br /> [ELECTRICAL 1$ AMPSERVICE r-7 PROGRESSENERGY W.R.E.G. <br /> GzPLUMBING "-%(:>,c,,,�%>�1 - <br /> =MECHANICAL is VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE 11 REGISTERED YIN FEE CURREN <br /> Address I Ucense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN LjjN J <br /> Address Ucense# <br /> PLUMBER --Ama 4r <br /> SIGNATURE COMPANY <br /> WFEECURREN I TIN <br /> Address d License# <br /> MECHANICAL COMPANY I I <br /> SIGNATURE REGISTERED I YIN FEE CURREN LaN J <br /> Address I Li <br /> OTHER COMPANY = <br /> SIGNATURE l l REGISTERED I YIN FEE CURREN LCLN_j <br /> Address License# <br /> RestuguyiIAL Attach(i)mot mans;(Z)sets or i3waing Flans;(i)set or tnergy I-orms;H-u-vv i-ennit tor new construction, <br /> Minimum ton(10)working days after submittal date. Required onsits,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 duni Site Work Permft far subdivisionsharge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-OW Permit for new construction. <br /> Minimum ten(10)working days after submittal dabs. Required onafte,Construction Plans,Stormwater Plans wf Sift Fence installed, <br /> Sanitary Facilities&I dumpstar.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 /> Directions. <br /> Fill out application completely. <br /> Owner&ODMiractor sign back of application,notarized <br /> if over$2600,a Notice of Commencement Is required. (AIC upgrades over$7600) <br /> Agent(for the contractor)or Power ofAttomey(Forthe owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Retoofs if shingles Sewers . Service Upgrades AIC Fences(Plotf$urvey/Footage) <br /> Driveways-Not over Counter If on public roadways-needs ROW <br />