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a,a-�au-uuzu City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 7 � 6 `J ` <br /> Phone Contact for Permittin _ <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titteholder Address <br /> JOB ADDRESS � �� J� ,3� �2 5 �J � ��/t/ <br /> L T <br /> r <br /> SUBDIVISION , PARCEL ID# �� (q '" _ <br /> (OBTAINED FR�OM pROPERTY T ncEl DEMOLISH <br /> WORK PROPOSED B NEW CONSTR ADD/ALT � SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE � SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL [� <br /> DESCRIPTION OF WORK � 5 ' � �° � � � �D � <br /> `7�U � eg�r c_:ul�1z.✓ Lrw1� �..�et/ <br /> BUILDING SIZE SQ FOOTAGEC] HEIGHT <br /> �BUILDING $ cU <br /> �� Z� � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � � <br /> � � �. / <br /> OMECHANICAL $ VALUATION OF MECHANiCAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY C� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [�YES NO <br /> BUILDER ' COMPANY � ,S !�J /--� n/� �j <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � - 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTEREO 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 Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Requlred onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsAarge p�ojects <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 Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster. Site Work Pertnit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Englneered 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 required. (A/C upgrades over E7500) <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 Servlce Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />