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City.of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received` Phone Contact for.Permitting C�Sb QG C�1 aiCk� ekOrit` Q)M <br /> Owner's Name C Owner Phone Number <br /> Owner's Address 2 T 3 3� 3�L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder-Address <br /> JOB ADDRESS S. 'L d ID- Y I1! 3 t LOT# 3� <br /> SUBDIVISION 1 t�emc\6 PARCEL iD# J 1_ '�� 00 b <br /> (OBTAINED FROM PROPERTY TAX NOTICE)' <br /> WORK PROPOSED t 1 NEW CONSTR ADD/ALT !� SIGN DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE-OF CONSTRUCTION BLOCK 0 FRAME STEEL 0 <br /> DESCRIPTION OF WORK Yv 4 i <br /> BUILDING SIZE C SQ FOOTAGE k�Z M Sct H HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL ($ � � AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ � <br /> =MECHANICAL rr$ r� 1 VALUATION OF MECHANICAL INSTALLATION t,J�1„ <br /> L�� "'�'(�'lr/ <br /> GAS: L._J ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS ., ` '-g� FLOOD ZONE AREA DYES NO <br /> BUILDER . � �� COMPANY <br /> SIGNATURE REGISTERED Y/ N FE CURREM1 Y/N <br /> Address License# Fczco 3cr6�2, <br /> ELECTRICIAN COMPANY . 5 <br /> SIGNATURE REGISTERED Y/ N' FEE CURREM1 /N <br /> Address .r License# [EE (}()3T3 <br /> PLUMBER -�°� �' COMPANY <br /> SIGNATURE C./ � -"� REGISTERED Y! N FEE CURR h /N' <br /> Address -w -33GI Z- License# FC I�C <br /> MECHANICAL COMPANY A i Y <br /> SIGNATURE 2 ,� 1 REGISTERED /-N FEE CURREM1 Y/N - (_ <br /> Address- 5- o T V2.r O W,,Wer, License# I CP C 6 33 ]p� 51 <br /> OTHER. 5COMPANY G <br /> SiGNATURE '''} [, !- REGISTERED Y i FEE CURREM1 Y/'N <br /> Address 7 '13 3 License# ECC 1 3 2 3 3 3 � <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&1 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 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&1 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 /> 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 owner authorizing same <br /> OVER T14E 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 />