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813-780-0020 City of Zephyrhilis Permit Application lob Fax-813-780-0021 <br /> Building Department WV 735 <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name C—Sl N Owner Phone Number <br /> Owner's Address P 6 ;,;r Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS !! � ��� � ��� LOT# <br /> SUBDIVISION sl 6";5/Z G'j F`f PARCEL ID# ` G) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK ,QI 1FRAME Q STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING 1 �v`j VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 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 /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N <br /> .a. <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY . <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN LY/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address / License# <br /> OTHER COMPANY <br /> SIGNATURE C� ��[! /REGISTERED Y/ N FEE CURREN <br /> Address il a 'J io -06- License# <br /> Illlllllllllllitllllllllllllllll IIIIIIIIIIIIIIIIIIIItlllllllllllll <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 subdivisionsAarge 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,`racilities&7 cjurrQsfer`Si4e'VVoil�'Pe.rriit"for all new projects.All commercial requirements must meet compliance <br /> L,. p ;,.;.,•.y;•, <br /> SIGN PERMIT Attach(2)sets of EnglO. .. d 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 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 />