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813-780-0020 City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> ' ' Building Department <br /> Date Received - p �G �� (� <br /> Phone Contact for Permittin O�3 G` � <br /> Owner's Name �/l ��-/�1 �lt--�/�- Owner Phone Number <br /> Owner's Address 37.�d !� /`y� Owner Phone Number <br /> Fee 5imple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �?Sd� ��l � LOT # l� <br /> SUBDIVISION U`"'/aJ�� /`�"d�%�/Af � 6?- PARCELID# 3 �"` �� d� — �d[9v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �'�d� �� �� 7/ G� QC�� �Q'In'! � uJ- �l-/I f`(��J <br /> BUILDING SIZE �X• �� X A�OZ- SQ FOOTAGE �� HEIGHT <br /> �BUILDING $/ 2 /� � C� VALUATION OF TOTAL CONSTRUCTION <br /> J� <br /> �ELECTRICAL $ a, AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �/�D � � � 2�- l q <br /> OPLUMBING $ <br /> �ASCO PERMIT SERV�G� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �813� �88"53�� <br /> FAX 1-866-f32�t-7�� <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER � �')/ � ! �'� � COMPANY '�/�^ f /�'G�-�( � � . <br /> SIGNATURE ��'"`�`✓ REGISTERED Y/ N FEE CURRE� Y J N <br /> Address �t yo �0�'T � Z'" License # � <br /> ELECTRICIAN ���� `� / !� .�/_� �� COMPANY �'`� �(�C' <br /> SIGNATURE ��'�� '�Q r REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � y�d7 �� J � � • License# �— � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Lice�se # <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 8 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 submittal date. Required onsite, Construction Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for atl 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 application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades 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 AppticaUon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />