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s�s-7ao-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> _ Building Department <br /> Date Recelved <br /> Phone Contact for Permlttin _ <br /> Owner's Name ! � f �/h l Owner Phone Number <br /> Owner's Address Owner Phone Number � <br /> Fee Slmpie Titleholder Name Owner Phone Number -� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � j � I D ��u I� V� LOT #�� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED New corvsTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION [� BLOCK Q FRAME �� STEEL Q (-- <br /> DESCRIPTION OF WORK ��GCI< �ijG � `' '� S�tr Ot•� 2 <br /> L(''�' p t <br /> BUILDING SIZE ,.S�Q FOOTAGE p 2- HEIGHT <br /> QBUILDING $/� �/ O� VALUATION OF TOTAL CONSTRUCTION <br /> l <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY �] W.R.E.C. <br /> QPLUMBING $ <br /> �����j . <br /> [�]MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (��b� I�� <br /> �� �.r, <br /> QGAS Q ROOFING Q SPECIALTY �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY , Cd�l.. C�JC"� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address S�(� f-/q S cf License #� -� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N � <br /> Address <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGtSTERED Y/ N FEE CURRE� 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, ConstrucUon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facillties & 1 dumpster; Site Wor1c Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new constructlon. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitles & 1 dumpster. Site Work Permit for all new projects. All commerclal requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY requlred for all NEW constructlon. <br /> Dlrections: <br /> Fiil out application completely. <br /> Owner 8 Confractor sign back of appllcatlon, notarized <br /> If over;2500, a Notice of Commencement is required. (AJC upgrades over;7500) <br /> '" Agent (for the contractor} or Po4ver of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of ApplicaUon Only) <br /> Reroofs if shingles Sewers 3ervice Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counterif on pvbttc roadways..needs aOW <br />