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City of ZephyrhillS Permit Application Fax-813-780-0021 <br /> Buiiding'Department <br /> te Received -�• /, <br /> Phone Contact for Permitting <br /> rner's <br /> Name _ Owner Phone Numberwner's Address <br /> r � ��Owner Phone Number <br /> Fee Simple Titleholder Name• Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> � <br /> SUBDIVISION � � —� _ +1 .4RCEL ID# 617 Z a-01/L70 -67!6 C2 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR F7 ADD/ALT- SiGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL 0 <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE' L i I SQ FOOTAGE 4,JO 4 HEIGHT <br /> /�—BUILDING $ 919I VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL AMP SERVICE PROGRESS ENERGY., W.R.E.C. <br /> F71PLLJME31NG <br /> 1ZfMECHA' NI`CAL $ /fe VALUATION OF MECHANICAL INSTALLATION <br /> OGAS ROOFING 0 ' SPECIALTY. 01 HER " �! <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ; '01 t <br /> BUILDER /t 9 COMPANY C <br /> SIGNATURE lll...rr®ss REGISTERED Y/ N FEE CURREN I -YIN <br /> Address Una ^ .. License# � 0 3 9 C ram! <br /> ELECTRICIAN COMPANY <br /> SIGNATURES REGISTERED / N FEE CURREN J Y/N <br /> Address aDLrA 3 License# �:C o ) 1 i <br /> PLUMBER COMPANY <br /> SIGNATURE _ REGISTERED' YI N FEE URRER /N <br /> Address (r S• O_ +r{A a License# l t-F C i t z 3- )3� <br /> MECHANICAL COMPANY f S <br /> SIGNATURE � REGISTERED VVN R FEE CURREN Y/N <br /> Address 5T)- • T License# (_tJ 33 W <br /> OTHER J,� COMPANY Y CS17 <br /> SIGNATURE REGISTERED Y/ N FEE CURREM1 Y/N <br /> Address �' f. 3 (o License <br /> iIIIIIIIIIIIIiIIIIIIIiIIII .ill' illlilllliill111illliilililliI-IIulIII <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 Atfach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms;R-O-W tPerrnit fornew 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 Pians. <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 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 />