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�,.s-�uu-u���u City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Buiiding Department <br /> Date Received ��� ! phone Contact for Permitting 7'�� �v � — �� <br /> . `_ � <br /> Owner's Name Owner Phone Number <br /> Owner's Address �a a� 0� � r t-� '� Owner Phone Number � <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��� �� S � LOT # � <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw CoNSTR � ADD/ALT 0 SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL [� <br /> DESCRIPTION OF WORK C Q L I ,,r, w3 1 fNr►.� W�•vdo tv <br /> BUILDING SIZE � SQ FOOTAGE � HEIGHT <br /> BUILDING $ ` VALUATION OF TOTAL CONSTRUCTION <br /> ol ��.� <br /> ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ') q � <br /> �V U C� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> .�� ��3� <br /> �GAS Q ROOFING Q SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER \ \ � COMPANY M LL �c�d /�p yyte �,r ,E �' <br /> SIGNATURE � dr n l S f}/� .V A ` REGISTERED Y! N FEE CURRE� Y! N <br /> Address SQ ULm��QT��, �e,qc7� �.I9R (3 � 77 License# C��/p � � <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 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 & 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 Fonns. 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 all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> """PROPERTY SURVEY requlred 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 upg�ades 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 Appiication 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 />