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u,�-�uu-uuzu City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> D�te Received , !} / � <br /> / Phone Contact for Permittin _ <br /> Owner's Name L.�//j��RJ �' �l /'��f jrJ � Owner Phone Number <br /> Owner's Address c� � T� U//� P Z,�. �,j flz pWner Phone Number � <br /> Fee Simple Tltleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �� (,r /,��✓L Z P G j S��Z LOT # �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONS7R � ADD/ALT � SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �, SFR � COMM C� OTHER <br /> TYPE OF CON3TRUCTION [� BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � ' S Q�VI � � � , _L_.- � � � <br /> V �� <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> [�]MECHANICAL $/� � n � � VALUATION OF MECHANICAL INSTALLATION <br /> � ���? � <br /> o� 7 <br /> QGAS Q 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 /> � ELECTRICIAN COMPANY ✓'� �4�5 ` � �`- <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � �-- <br /> License # .L= (�/" ��� C��� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL 4L�1rc.,�. 8 i <br /> COMPANY �/� �'n K <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� N <br /> Address c�yJp nn.2 �r�`�1 (f�- W �, G�J <br /> License # li/�� ���.r � <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 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safery F'age; (1) set of Energy Forms. R-O-W Fermit 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 8 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 construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of applfcation, notarized <br /> If over $2500, a Notice of Commencement (s required. (A/C upgrades over 57500) <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 />