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uty of Zephyrhilis Permit Application Fax 813-780-002i <br /> Building Department <br /> Date Received <br /> F Phone Contact for Permitting <br /> Owner's Nam . Owner PhoneNum <br /> ber <br /> Owner's Address 39 Owner Phone Number <br /> Name CQ Owner Phone Number <br /> Fee Simple Titleholder <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> OC, ARCELID#1 35- 2-5-7 a MD WcfU 61M SUBDIVISION (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> E� INSTALL8 REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL 0F_ <br /> DESCRIPTION OF WORK W I �a�, to nijer\rv— 5--?ej -s'-SeAffi <br /> \J <br /> BUILDING SIZE SQ FOOTAGE <br /> �y HEIGHT <br /> =BUILDING cto VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL ' $ VALUATION OF MECHANICAL INSTALLATION <br /> (S <br /> GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> n BUILDER COMPANY c <br /> FEE CURREN L_y L N _J <br /> SIGNATURE REGISTERED Y/ N <br /> Address , I�Z,,02 akC=_T)V- License# Eaw,�9 c&2 <br /> -jec-Me ELECTRICIAN COMPANY <br /> SIGNATURE fZ REGISTERED FEE CURRE•N Y/N <br /> Address fty 56;crA3 License# <br /> PLUMBER COMPANY u M <br /> SIGNATURE REGISTERED Y/ N FEEtURREN 7/N <br /> Address Il, S7�0 10M License#1 CF-C)�Z:" )3 <br /> REGISTERED YI-N FEE CURREN V I Y I N <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> Address 1xS1,ey- kk3 a-A&N -�UqU�l License# 1 C_� C6 33 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN Y/N <br /> Address h�w 0(-X+ to License# [—cc <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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/Silt Fence Installed, <br /> Sanitary Facilities&I-dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy 176rms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt 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 /> Directions--- - - - --- - - - <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If 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"'o''wn-er-.a*uthoeizin-g"s*arrf'e. <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />