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, aisaao-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � � <br /> Phone ConWCt for Pertnittin -- <br /> TITf T T C <br /> Owner's Name C V GC N� •'� Owner Phone Number ��� ��'O� 1V <br /> Owners Address 1 O � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Ti[leholder Address <br /> JOB ADDRESS J � � l� .0 LOT # � <br /> SUBOIVISION �TT U PARCELID# 02 a� 2� '��, � Wl_�� QQ�� <br /> (OBTAINED FROM PROPERTY 7AX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �\ � E�' C� 5 ' � ��V�I G��N9t Q(� <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY R.E.0 <br /> �PLUMBING $ � � 0 ;3 ° ,T j <br /> 1S <br /> ` �MECHANICAL �. D� VALUATION OF MECHANICAL INSTALLATION � <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N <br /> Add ress —� <br /> License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> PLUMBER COMPANY <br /> SIGNATURE REG�STERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> MECHANICA C PANY I R OR C� � C� HL, 11� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address m1��Rv„ �r License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> 1 1 1 1 1 I 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bwlding Plans; (1) set of Energy Fortns, R-O-W Permit for new consiruction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdrvisions/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 construchon. <br /> Minimum ten (10) working days after submirial date. Required onsite, Construction Plans, Stortnwater Plans w/ Silt Fence instatled, <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 applicahon, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over a7500) <br /> " Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authonzing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Sennce Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways .needs ROW <br />