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�,3-�au-uu��.0 Gity of Zephyrhiils Permit Application / Fax-813-780-0021 <br /> Building Departmen� � r �� �11�' <br /> Date Received �� �— 3-� Phone Contact for Permittin �� � � ( �- � � 7 � <br /> Owner's Name / �� t �` Owner Phone Number <br /> Owner's Address ��� �/��r C. l� Owner Phone Number �— <br /> Fee Simple Titleholder Name �— Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � / �P � LOT # � <br /> SUBDIVISION . PARCEL ID# /�� �� ' �/' ��/� � l(� �D ° S <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK S C/ x <br /> BUILDING SIZE S(� FOOTAGE � HEIGHT <br /> QBUILDING $ /�/ 0 � VALUATION OF TOTAL CONSTRUCTION <br /> (L <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ll1 `� <br /> �GAS 0 ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> , <br /> BUILDER f � �J _COMPANY <br /> SIGNATURE �y REGISTERED Y/ N FEE CURRE� Y I� <br /> Add�ess ' License # <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I 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 Pians; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Requfred onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach (3) complete sets af Building Plans plus a Life Safery Page; (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 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 requlred. (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 (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />