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813-780-0020 City of Zephyrhil;s Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received i phone Contact for Permittin <br /> . TfTT C / f <br /> OwnersName In (/(Pi /'`. OwnerPhoneNumber O "�� � ��! <br /> Owners Address �G$ ! Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � O J l/�-[JII (� LOT # � <br /> SUBDIVISION +CI �0�� PARCELID# P�:�UJi7CL -D,�/A-D�iyl�0 ` �O � <br /> (OB7wINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADDIALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK "�^��`'" �/ /T ^ �"`- � <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY 0 W.R.E.C. / <br /> � �/ <br /> �PLUMBING $ /� � � <br /> QMECHANICAL $ �`l Ov VALUATION OF MECHANICAL INSTALLATION � I� �l[" <br /> �' ' � � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER �y ,��� � i / j <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � � � i� p <br /> �' ' ----- --- ' t 1 f 1 1 1 t t I 1 i 1 1 i t I 1 t 1 1 1 t i 1 L I 1 4 L-i 1--i ' <br /> BUILDER � COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N <br /> Add ress License # � <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # �� <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREM1 V/ N <br /> Address License # �-� <br /> MECHANICAL COMPANY ��� � � <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/ N <br /> Address License# 0 � 7� <br /> OTHER COMPANY -� <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N <br /> Address License # �-� <br /> I111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans, (2) sets of Building Plans; (1) set of Energy Fortns; 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 Buiiding Plans plus a L'rfe 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 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 conslruction. <br /> Directions: • � <br /> Fill out application completely <br /> Owner & Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over $7500) <br /> " Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter 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 Counler if on public roadways..needs ROW <br />