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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> � � Building Department <br /> )ate Received � 11 Phone Contact for Permittin — <br /> )wner's Name � r� Owner Phone Number � t J� � G� �� S�i <br /> )wner's Address 3 l � � � �� � � � Owner Phone Number � � <br /> 'ee Simple Titleholder Name Owner Phone Number <br /> 'ee Simple Titleholder Address <br /> IOB ADDRESS s..� 7 6"J�Q �'��-� � ��' LOT # � <br /> iUBDIVISION . PARCEL ID# <br /> (OBTAINEO FROM PROPERTY TAX NOTICE) <br /> NORK PROPOSED � NEw CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> 'ROPOSED USE �- SFR Q COMM 0 OTHER <br /> fYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK G ��`-� `� � s f ��" f Lt,y(.� }� <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT <br /> QBUILDING $ VALUATtON OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $� �� `.� VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # <br /> ELECTRICIAN � COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURREA Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> � <br /> NECHANICAL COMPANY <br /> iIGNATURE ` REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ��?� �I��L -ZOL �- License # (._: �� C�/ � c� � 3 <br /> �THER COMPANY <br /> i1GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> 2ESIDENTIAL 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, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> �OMMERCIAL 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 Permit for all new projects. All commercial requirements must meet compliance <br /> 31GN PERMIT Attach (2) sets of Engineered Plans. <br /> *"*"PROPERTY SURVEY required for all NEW construcUo�. <br /> )irections: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over �2500, a Notice of Commencement (s requi�ed. jAfC upgrades over 57500) <br /> ` Agent (fo� the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> )VER THE COUNTER PERMtTTING (Front bf Appiication Only) <br /> teroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />