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�,s-��u-uuzu City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Buiiding Department <br /> Date Received <br /> Phone Contact for Permittin <br /> Owner's Name �C� � j� �tn G Owner Phone Number y <br /> Owner's Address �� �r '� � Owner Phone Number <br /> Fee 5imple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 3�� ( TL� L�L �� <br /> LOT # <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED F� pROPERTY T TICE) DEMOIISH <br /> WORK PROPOSED B NEW CONSTR ADD/ALT �� SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE � SFR � COMM �� OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME [—� STEEL [� <br /> DESCRIPTION OF WORK � Cc c v� � x OjC�' � -� �� ✓ C C <br /> BUILDING SIZE SQ FOOTAGEU HEIGHT <br /> QBUILDING $ <br /> �,'�. <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ��ELECTRICAL $ �� � AMP SERVICE �' PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> 1 �� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> [�GAS � ROOFING Q SPECIALTY �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # <br /> �, <br /> ELECTRICIAN C., COMPANY f( cJ' � C(�rjs ���[ `-'C C <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ,�J � - 1 �r• � � � <br /> License # ' G� -�X 1� aS'(� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 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, 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 aRer 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 requlred for all NEW construction. <br /> Directions. <br /> Fill out applicaUon completely. <br /> Owner 8� 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 Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />