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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 1 <br /> Building Department <br /> Date Received Phone Contact for Permitting l <br /> Ownees'Name W i I I I L_\K 11, Owner Phone Number <br /> Owner's Address Z ci l-i, Owner-P,honwNumber• <br /> Fee Simple Titleholder Name- Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S EC 14 S,T LOT# <br /> SUBDIVISION, / 1.IVG-7_LI (� C_� PARCEL;ID# 2-24e`2( to�i CSC bC� d®4® - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK-PROPOSED- NEW.CONSTR ADD/ALT SIGN•- Q = DEMOLISH <br /> R <br /> INSTALL 8 REPAIR <br /> PROPOSED USE - Q -SFR 0•_ COMM 0, OTHER <br /> TYPE OF CONSTRUCTION.= Q -BLOCK Q FRAME _ STEEL'' 0 <br /> DESCRIPTI OF WORK ►`Q l- l C-� C 1`�G C A pp,ti <br /> W <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT <br /> =BUILDING, $ VALUATION OF TOTAL CONSTRUCTION <br /> ,ELECTRICAL. AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> 'tt M F_ 20 L� <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> C � <br /> =GAS = ROOFING Q SPECIALTY Q OTHER <br /> FINISHED-FLOOR ELEVATIONS FLOOD•ZONE AREA- =•YES NO / <br /> _ BUILDER COMPANY <br /> SIGNATURE REGISTERED I I•.Y/:N.. FEE CURREN. <br /> Address License# <br /> ELECTRICIAN COMPANY Home V W O4-2 <br /> SIGNATURP l VV���� REGISTERED Y/ N FEE CURRE.N. Y/N <br /> Address 5,(.Z Ct z°ees tt • License# <br /> PLUMBER COMPANY , <br /> `SIGNATURE REGISTERED ' Y/ N FEE CURREp Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE' •REGISTERED Y/`N FEE-CURREK' Y/N <br /> Address . License# <br /> OTHER '' COMPANY <br /> SIGNATURE REGISTERED Y/-N: FEE,CURREp Y/N <br /> Address License,]. <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 submittai'dat6. Required onsite;Constriction Plans;'Sto'rmwater Plans w/Silt Fence-installed, <br /> Sanitary Facilities 8�1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete'seW of Building Plans plus a Life,Safety Page;_(:1)set of Energy Forms.R-0-W Permit for riew construction.. <br /> Minimum ten(10):working days after-subniittal`.date..Required.onsite,Construction Plans;Stormwater.Rlans-w/) lit Fence installed, <br /> Sanitary Facilities 8r1 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 B-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 Aftomey(for the-owner)would be someone with notarized-letter from owner authorizing same <br /> COVER THE COUNTER PERMITTING (copy.•of contract.required) <br /> Reroofs if shingles Sewers Service°Upgrades A/C FenceslPlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />