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s�s-�ao-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � Phone Contact for Permittin __ <br /> Owner's Name Z—u � L-L. 1�� V� �--LL Owner Phone Number <br /> Owner'sAddress �� �" -��— �r--��5� 2���k pWnerPhoneNumber �1� ��� ao3 <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �d �. �� Q- P� �� ^Z-`� LOT # �� <br /> SUBDIVISION —� PARCEL ID# � 2 �-� �-� ���_O C� ��'jp0 � G <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR �' ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE Q SFR COMM 0 OTHER ,p <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME � STEEL � <br /> DESCRIPTION OF WORK ��P�� 2 ' 2� WA L.l ��•�� ��. E�.Q_L- <br /> BUILDING SIZE 2 -�OO SQ FOOTAGE �Ul� HEIGHT IC{- � <br /> QBUILDING $ ,�� �_, VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ � O �� , AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �j2�Z1 <br /> QMECHANICAL $ VALUATtON OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> BUILDER ------ L COMPANY G ��� �� —�+ �Q� S <br /> SIGNATU REGISTERED Y/ N FEE CURRE� Y/ N <br /> �— <br /> Address �o�s�- 't�� y'� License# <br /> ELECTRICIAN ` COMPANY �G�L�L /� ��� f G �� <br /> SIGNATURE REGISTERED N FEE CURREA Y/ N �f���iJ� <br /> Address (d �Ul� � �/. �/� ' G/ 1 � �`L License # :—1 d�� C� <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y! N <br /> Address License # —� <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ 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 i�stalled, <br /> Sanitary Facilities 8 1 dumpster; Site 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 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 construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of applicatlon, notarized <br /> If over;2500, a Notice of Commencement is required. (A/C upgrades over s7500) <br /> *' Agent (for the contractor) 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 Only) <br /> Reroofs if shingles Sewers S�Nic�`Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs FtC�W <br /> 9 <br />