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813-780-0020 City of Zephyrhiils Permit Application rax-a,.�-���-���, <br /> Building Department <br /> Date Received � � — q ' � Phone Contact for Permitting �J� �� ( -- ✓ � <br /> Owner's Name J � s Owner Phone Number g� 3`��� � 3� <br /> Owner's Address � � ��� w�L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �� VY� W LOT #�� <br /> SUBDIVISION PARCEL ID# ( 5 ��� '� � ` � �� � � w � 3 � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR � ADD/ALT Q SIGN [� MOVE [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME Q ST EL Q OTHER � <br /> DESCRIPTION OF WORK Q L J S �\ a T�� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> � BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> � PLUMBING $ � � �?, � <br /> MECHANICAL $� L f7 � 0� VALUATION OF MECHANICAL INSTALLATION <br /> �.� L <br /> 0 GAS � ROOFING � SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES QNO <br /> BUILDER COMPANY <br /> SIGNATURE �iEGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Addres� License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> MECHANICAL ' COMPANY � C � <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address �� o� 3 0� 3 ��— �� License # ��� s b J /� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y I 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 & 1 dumpster; Site Work Permit for subdivisionsllarge 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, ConstrucUon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster. Site Wor1c 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 & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) <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 /> Re�oofs Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Drivew�ys-Not over Counter if on public roadways..needs ROW <br />