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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �.. � Phone Contact for Permitting Z?� — D <br /> Owner's Name ( AQ FQ,' Mau Z Owner Phone Number I 7 Z5' - .!S <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address L 1l 0Y l <br /> JOB ADDRESS 3) --TZd4m haJL IL-64' LOT# <br /> SUBDIVISION N PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK <br /> n n = FRAME = STEEL = <br /> DESCRIPTION OF WORK Ik I Il7 Wy <br /> f . <br /> BUILDING SIZE SQ FOOTAGE J tJ HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROdRESS ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ` <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . ._. <br /> . t <br /> BUILDER COMPANY Q UJ <br /> SIGNATURE REGISTERED Y/ N - FEE CURREN LX.LN <br /> Address License#. <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Lyl N J FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> t l l l 1'•1 '1`1`11=1�41:1=1•.:1.,1-.1:.1..1„1VI„1„1 <br /> RESIDENTIAL Attach(2)Plot Plaris;'(2)'sots Of,Building:Plans;(1)set of Energy Fonns;�R-O-WPermit for new construction, <br /> Minimum ten+(.10):workinosdays,afte�submittal date. Required onsite,Construction Plans;:Stormwater.Plaris w/;Silt Fence installed, <br /> rY P 9 ,projects <br /> Sanitary Facilities&r�t,;dum ster;;Sjte-Work-Permit for subdivisions/lar a .1 :„,;;., ..,,, ,. ;:,• ;; .:... , <br /> COMMERCIAL Attach(2)�6ompletd,dets of.BuildingV,lans plus a Life Safety Page;(1)set.of Energy Forms:;R-O-W Perinit•for new,construction. <br /> Minimum`6h'(10)working days after submittal date. Required onsite,Construction•Plans;�Storjnwatet Plans:w%Sift Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial'requirements must meef mpliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <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 />