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s�s-�so-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received — _ - 7�- - 7 Q <br /> Phone Contact for Permitting 6 1 — � 7� <br /> Owner's Name � p � oVl I1 �, �' /f S]'� Owner Phone Number U! 3 �(v �" Z 3 S <br /> Owner's Address � ��� �t z�2 � v-Q- Owner Phone Number <br /> Fee Simple Titleholder Name �1 Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 3�533 '-�(,�,�� �,;v� h�t�S, F� 3 3�yp LOT# � <br /> SUBDIVISION ��r�+-I c� �o�r� PARCEL ID# ��—� "ZI "�`�O •• O DQOO —//aZo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR Sd ADD/�� Q SIGN � MOVE Q DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE Q SFR � COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK �"U � � � �u- � — ,� 5 � I I /Y� c tu5, � S`. � S I � � � t.� t � �-� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 0 ELECTRICAL $� � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> � PLUMBING $ � ��` ��/y, <br /> � � / <br /> � MECHANICAL $�/ ,!' J C � �� VALUATION OF MECHANICAL INSTALLATION <br /> � GAS 0 ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES QNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRENT Y/ N <br /> Address License # <br /> ELECTRICIAN � S COMPANY �►'�'��� •�n, w�- ` L� �c <br /> SIGNATURE REGISTERED Y N FEE CURRENT / <br /> Address 33'�f0 N- � P�� ( 337�6 License# �-t�bl6� d <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> MECHANICA COMPANY ftmerK�-n r ` I /v� �/ �� <br /> SIGNATURE ' /S� �� � REGISTERED / N FEECURRENT N <br /> Address 3��70 l� � � .�� � i� 337/b License # Cw►� � z�� yo 6 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT 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, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work 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 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 $5000) <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 (Front of Applicati • <br /> Reroofs Sewers Servfce Up�Fades A!C Fences (Plot/Survey/Footage) � <br /> , <br /> Driveways-fVot over Counter if on public roadways..ne <br /> { , , <br /> . ' • ° � � r �°�� •:. -.a��. , . , <br />