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City of Zephyrhilis Permit Application Fax-813-7$0-0021 <br /> Building Department <br /> Date Received 5�2quc�1Q��R- �o�`C-�m <br /> Phone Contact for Permitting -- <br /> Owner's Name Owner Phone Number <br /> Owner's.Address Jr S�Owner Phone Number .� <br /> Fee.Simple Titleholder Name Owner Phone Number �- <br /> Fee Simple Titleholder Address . <br /> JOB ADDRESS LOT# 2 <br /> SUBDIVISION Y' , �1 �A CEL 1D# ZJ-Z I DJ�,® V�/G?�I "VUZJ <br /> (OBTAINED FROM PROPERTY TAX NOTICE), <br /> WORK PROPOSED NEW CONSTft ADD/ALT � SIGN 0 � DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE 0 . 8FR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION. 0'' BLOCK Q FRAME 0 STEEL 0 <br /> DESCRIPTION OF WORK v� 1 Sex `S <br /> BUILDING SIZE SQ FOOTAGE J 4 HEIGHT/. <br /> [ v' BUILDING $ j po VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ / / AMP SERVICE 0 PROGRESS ENERGY W.R.E.d. <br /> PLUMBING $ ' <br /> 7.Za <br /> 11 <br /> [:�,�v1ECHANICAL $ s© VALUATION OF MECHANICAL INSTALLATION <br /> [ GAS ROOFING Q_ SPECIALTY. �_J OTHER <br /> FINISHED FLOOR ELEVATIONS , FLOOD ZONE AREA =YES NO <br /> BUILDER , -,,� COMPANY C <br /> SIGNATURE REGISTERED Y/ N FEE CURRERL /N <br /> Address .. License# ,f <br /> ELECTRICIAN /' COMPANY :!arnrko -Mir <br /> SIGNATURE -- C./7 Z REGISTERED / N FEE CURREN I Y i N <br /> Address Qi? 3 License# I�:.C,(6 o <br /> PLUMBER 000MPANY } S �!(� <br /> SIGNATURE / ° -`-� �---^' REGISTERED Y/ N FEE URREI, u/N <br /> Address 3�� C �w s -e k� ri License# CF C>I I :�" <br /> MECHANICAL COMPANY i r S <br /> SIGNATURE REGlSTERED i N FEE CURREN Y/N <br /> Address License# C-0 33 W <br /> OTHER. COMPANY Y` } {S -1 <br /> SIGNATURE. �"'`� REGISTERED Y/ N FEE CURREN Y/N <br /> Address �' 3 License# CC [ Z�Q <br /> 1lIIIII-l111Ii.1CII111i. 111111111 _II111 I'll IIIIII1. I111.11 .illiiliilllliltl. <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(16)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 Form.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. (AC upgrades over$7500) <br /> ** Agent(for the contractor)or Power of Attorney(for the owner)would,be som eone 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 />