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813-780-0020 City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Buildi�g Department <br /> Date Received phone Contact for Permitting p(D 3 ��� " �`� 3 � <br /> Owner's Name �� 1 �� R�� `�`� �`� � Owner Phone Number 3� J� 3 Y � 7J , <br /> Owner's Address O�O � � L� � v� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �. f'Yl � LOT # �� <br /> SUBDIVISION PARCEL ID# ��' �� �� I� UDI � — .0 I�I DD — D � J <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR 0 COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME � STEEL Q OTHER <br /> DESCRIPTION OF WORK A IC C�� ��r - a�" I� � p • ' l3 5 � e.� - 5K� l� ��-I T <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 0 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 <br /> � PLUMBING $ � j 1 � �� <br /> i� � �� � <br /> [� MECHANICAL $ � J � 1 �� VALUATION OF MECHANICAL INSTALLATION ✓�'{t�a--�'" <br /> CD � <br /> 0 GAS � ROOFING � SPECIALTY � 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 COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> MECHANICAL ��, ���� COMPANY � �� F� ��� ��Tl �/�J <br /> SIGNATURE » REGISTERED N FEE CURRENT Y/ N <br /> Address 9�3 LJ I�nEm D�'- i� L ��`-✓, License # �C� ��`�SJ <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 submittai date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence instalied, <br /> Sanitary Facilities 8 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 Pians, 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 8� Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (AJC 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 Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> .wa- <br />