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s�s-�ao-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> _---------,.. <br /> Building Department <br /> Date Received a� Phone Corrtact for Pertn' • "._ 9 — y�� 1 �"� <br /> �� <br /> Owner's Name Q Q � r Phone Number <br /> Owner's Address no � �o� ��S � ��� i e.i1 N � (I Owner Phone Number <br /> `+8�r°`I <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5(� ��Tq C� �,.I V ZC I• S F �- . LOT # � <br /> SUBDIVISION � � PARCEL ID# 3S .ZS-o2, { — � O — 0 � `{ l7 <br /> (OBTAINED FROM PROPERTY TAX I�T10E) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR �� COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> S y� ,.., <br /> DESCRIPTION OF WORK W� v�,'U�L • C� <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT 1�1, I C <br /> �BUILDING $ r � b�� VALUATION OF TOTAL CONSTRUCTION P- ��,��UitO ���1 � `� <br /> J � 1 V <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 <br /> 0 � <br /> OPLUMBING $ Q v � /��., _ U � � <br /> V � �_ r�, � �� <br /> �MECHANICAL $ JO � VALUATION OF MECHANICAL INSTALLATION / , ��'.� � <br /> � <br /> Sf� r Q / <br /> � ��r � S � '� � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER 3 S'� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO 3�� �'�( <br /> � <br /> � � -{' ``_ . <br /> BUILDER COMPANY C�J• C p11RV C�4 tW CO �/lST �� G. <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address vC. S� T S �� License # G C. � S � <br /> , �, , �(( <br /> EL CTRICIAN � r � COMPANY 7 - <br /> SIGNATURE L.J`-` �-v REGISTERED Y I N FEE CURRE� Y/ N �f <br /> Address License # � <br /> PLU BER �� �� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> Nt� HANICAL �,� �� � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 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, Constniction Plans, Stormwater Plans w! Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach (3) complete sets of Buiiding Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten (10) woricing days after submittal date. Required onsite, Construation Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facalities & 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 8 Contractor sign back of application, notarized <br /> If over 52500, 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 PERMIITING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter 'rf on public roadways..needs ROW <br /> �1 <br /> ,, <br />