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813-780-0020 City of ZephyrhillS Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received� Phone Contact for Permitting <br /> Owner's Name `�1 O� ✓ �p -I'e f Owner Phone Number — <br /> Owner's Address ���� ��� U Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address //1 zz �r <br /> JOB ADDRESS � �'--! I,a J V LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR a ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = .OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK lnce -/- l/ J \ VCC <br /> BUILDING SIZE I I SQ FOOTAGE= HEIGHT <br /> Ex BUILDING $p bn VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $l AMP SERVICE Q PROGRESS ENERGY IQ W R E.C.�U <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER C <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES <br /> BUILDER / COMPANY <br /> SIGNATURE ,v / G REGISTERED Y/ N FEE CURREN , Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN 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 submittal date. Required onsite,Construction Plans,Stormwatee Plans w/.Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsnarge 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,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. (A/C upgrades over$7500) <br /> '• Agent(for the contractor)or Power;.of-Attomey.(for, the owner)would be someone with notarized letter,from owner authorizing same . <br /> OVER THE COUNTER PERMITTING". ' (copyof contract required) <br /> Reroofs If shingles Sdwers>, Service Upgrades A/C . Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />