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s�s-�8o-002o City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received -^` �3 �3�' ,/ <br /> '� Phone Contact for Permittln � -� 7� <br /> Owner's Name � C� ;Q � s S�� Owner Phone Number <br /> Owner's Address �75 C� ��LQ'"'1� �2 / v E`� Owner Phone Number <br /> Fee Simple Titleholder Name —"- Owner Phone Number � <br /> Fee Simple Titlehotder Addre <br /> JOB ADDRESS � 7 S�� COP�L �-� �•� C�� �, r y� �-� <<-' F LOT # � <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT 0 SIGN Q �] DEMOLISH <br /> INSTALL REPAIR <br /> PROP�SED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE � SQ FOOTAGE �� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ O� � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> T --,� <br /> QPLUMBING $ <br /> �� ��� 1 <br /> OMECHANICAL $ VALUATI�N OF MECHANICAL INSTALLATIO � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N PEE CURREA Y/ N <br /> Address ' License # �— —� <br /> ELECTRICIAN �COMPANY l''�T�'ZL o C-,� �CCzrK � c l-'� <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 # r <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N <br /> Address Ucense # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy FoRns; 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 8 1 dumpster; Slte 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, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitles & 1 dumpste�. 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 construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 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 tetter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application 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 />