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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received- a- a a- a l Phone Contact for Permitting <br /> 11111 Bill <br /> Owner's Name /�fi;liCO Owner Phone Number - f <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Ad <br /> dress <br /> JOB ADDRESS 24Ltz <br /> �2 O LOT# <br /> SUBDIVISION /9 LDS /�O PARCEL ID# 01,9 a L O & O 9 O <br /> (OBTAINED FROM PR 3PERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR =- COMM 0 OTHER <br /> TYPE OF-CONSTRUCTION = BLOCK 0 FRAME = STEEL <br /> DESCRIPTION OF WORK Q <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ q <br /> MECHANICAL $ <br /> 0"" � r VALUATION OF MECHANICAL INSTALLATION <br /> "`77T7�7GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO ((� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Lyl N <br /> Address I License <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREI% L Y/N <br /> Address I License <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEEICURREN <br /> Address License <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED N FEE CURREN /N <br /> Address 10,;1 3c5— $ d a-sue License a. 7c_ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE 0URREN LY/N <br /> Address License <br /> Illlllllllllllllllllillllllllllllllllllllllllllllllllllllllllllllll <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,Stprmwater 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,St rmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requir'ments 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. (AIC 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 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 />