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613780-0020 City �f Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> • � Date Received � Z — phone Contact for Permitting <br /> IT R 7 rrT <br /> Ownefe Name Owner Phone Number �� <br /> Owners Address Owner Phone Number �—� <br /> Fee Simple TitlehoWer Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT # � <br /> SUBDIVISION � PARCEL IDp �� " <br /> (06fAINED FROM OPERiY TAX NO CE) <br /> WORK PROPOSED e NEW CONSTR B ADDlALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK / <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> ��UILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. „ ���(� O <br /> `r 1 <br /> �PLUMBING $ � /�� ��C�! �I `Y�'/^ „ <br /> � V <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � CL� l Ca��'�- <br /> QGAS Q ROOfING Q SPECIALTY Q OTHER (�,'� L/� <br /> �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO __� „ t � <br /> . J �"'��_ <br /> BUILDER � COMPANY y/V� <br /> SIGNATURE REGIS7eRED Y/ N FEE CURaEn Y/ N <br /> Address _ � ����^ (LLicense � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE r�c,�s�rseo Y/ N F� cua�n Y/ N <br /> Address License # �—� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/ N <br /> Address License � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N F� cuRrtEn Y/ N <br /> Address License i <br /> OTHER COMPANY —� <br /> SIGNATURE REGISTERED Y/ N FEE CURREf. Y/ N <br /> Address License � <br /> 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 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 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fortns; R-O-W Permit for new consVuction, <br /> Minimum ten (10) worfcing days after submittal date. Required onsite, ConsWC[ion Plans, Stortnwater Plans w! SiR Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Pertnit for subdivisrons/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fams. R-O-W Permit for new consWcGan. <br /> Minimum ten (10) waking days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Sitt Fence installed, <br /> Sanitary Faalities & 1 dumps[er Site Wor1c Permit for all new projeds. All commeraal requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constnx:tion. <br /> Directions: - - - <br /> Fill out application completely <br /> Owner 8 ConVactor sign back of application, notarized <br /> If over;2500, a Notice of Commencement is required. (A/C upgrades over i7�) <br /> " Agent (for the conlrador) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Onty) <br /> Reroofs 'rf shingles Sewers Service Upgrades A/C Fences (PlotlSurvey/Footage) <br /> Driveways-Not over Counter rf on public road�rays..needs ROW <br />