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813-780-0020 City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � 2q �� phone Contact for Permittin �� 3 35� _ S <br /> �. �� r <br /> Owner's Name � ./ p9M E'g �Ui'1 I GE' Owner Phone Number <br /> Owner's Address J�3� �r L�n V� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 35 fl3Z in C(�� � V E LOT # � <br /> SUBDIVISION t� � PARCELID# �� � Q�D OO-1S Z'�I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT 0 SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ,�`i L��� �G•��nDov.�.5 <br /> BUILDING SIZE �� D S€,T SQ FOOTAGE � HEIGHT <br /> �BUILDING $ o0 <br /> ('Z j) Q� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � f ��'�� <br /> __�_�__ � R� � �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � v ��/ i 2�- C � 7 � <br /> l % �' � rfl�'''� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � i Z� �� <br /> BUILDER �'� � COMPANY �rrt>� DA r'� �vn � o �i/)vcS zn C. <br /> f— <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/ N <br /> Address �f1 80� 5� JA� � lu�� o r'G • 3jS7 � License # C�SD ��5 � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 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 REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bullding 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 after submlttal 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 required for all NEW constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A1C upgrades over a7500) <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 />