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813-780-0020 City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received phone Contact for Permitting �� G� -- ��' � <br /> Owner's Name � r .� �� Owner Phone Number <br /> Owner's Address � Z Z. o � r�� �/ Owner Phone Number <br /> Fee 5imple Titleholder Name Owner Piione Number � <br /> Fee Simple Titlehalder Address <br /> JOB ADDRESS �Z. V L/ k � LOT # / � <br /> SUBDIVISION W�i �r � � 6 yk PARCEL ID# �� Z�� Z �— U I�. V^ O(1 0 0 � — U � U O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN 0 � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �.+�wd�d W f� ��h�w I i t� �/ Il i b <br /> BUILDING SIZE � � SQ FOOTAGE� HEIGHT �_� <br /> OBUILDING $ ��� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY 0 W.R.E C <br /> �PLUMBING $ � � �� � v <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> Y � �/ -� <br /> S GNATURE COMPANY �� � o�/ h/cr � d� /� �� <br /> REGISTERE� Y N FEE CURRE� / N <br /> Address 0 li�.�fjni�,/ �y - License# .s�G �S� 9 y <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERE� Y/ N FEE CURRE� Y/ N <br /> Address License # <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 REGISTERE� Y/ N FEE CURRE� Y/ N <br /> Address License # � � <br /> RESIDENTIAL Atta�;h (2) Plot Plans; (2) sels 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 wl Silt Fence installed, <br /> Sanitan� Facitikies 8 1 dumpster; Sile Work Permi! for su�divisions/large projects <br /> COMMERCIAL Attac;h (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 su6mittal 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 Attac:h (2) sets of Engineered Plans. <br /> `*"'PROPERTY SURVEY required for all NEW construction. <br /> irections: <br /> _._. . ..--• --- • ------.,.. _., <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 $7500) <br /> *' Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner auihorizing 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 />