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813-780-0020 City of Zephyrhilis Permit Application 01'4�Jy,, J Fax-813-780-0021 <br /> Building Department g1v V, 71Y <br /> Date Received <br /> ............ ........... <br /> Phone Contact for Permitting F( <br /> Owner's Name Owner Phone Number <br /> �Zyv iz— <br /> Ownees Addressl I,. 6 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRF--1 ADDIALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK . .....41vtkv /9 <br /> BUILDING SIZE SO FOOTAGE F/?" I HEIGHT <br /> =BUILDING 1 1 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> HHHHHi ........ <br /> ................ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y N <br /> Address License <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LUN J <br /> Address I License <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREN LYIN_j <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE RE ISTERED / N I I FEE CURREN Y N <br /> Map W" License# _ -344 <br /> Address Y, FMI lo,. -HiNHE ...I....HHHHHHHHHHH! H HHHHHH <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for ne W, construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sto7' water 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 Forms.R­I O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sto7water Plans wt Silt Fence Installed, <br /> Sanitary Facilities&I dumpqter.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 /> I i i I i i I i 11 i 11 i!11 1 a a a a 1 a 5 1 1 1 a I I;I Ww4l I a I I I I I I I I I I i 11111 11 114=''IT <br /> Directions: <br /> --- --- <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 <br /> one with notarized letter from owner authorizing Same <br /> OVER THE COUNTER PERMITTING- (copyol"contract re­qUir0d) <br /> Reroofs if shingles aowers,,, Service Upgrades A/C'--* Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public,ro W:pyp..6e6ds ROW <br />