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813-780-0020 City of Zephyrhilis Permit AppliCation Fax-813-780-0021 <br /> Building Department � <br /> . Dato Received � — � °- ! one Conta #ss- ' ' g y � V V -- /' 21 • <br /> 1 1 1 1 1 1 1 1 � 1 1 i 1 <br /> Owner'sName ��� Q�f�Q. ��� OwnerPhoneNumber 0���� 0�70 <br /> Owner's Address � ��r`�"� � r� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number �—� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I / / LOT ff � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PpOPERTY TAX NOTICE) <br /> WORK PROPOSED rvEw CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> �DESCRIPTIONOFWOR�C Q��/1�f �r� fH� �V���' r r/1��T'� hQ�(Nsi/�4'Ff�1 •�T. ��� • <br /> BUILDING SIZE S� FOOTAGE � HEIGHT (y` � <br /> � � / <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W R E C <br /> OPLUMBING $ � ��� <br /> �MECHANICAL $ � Z�y� VALUATION OF MECHANICAL INSTALLATION �� <br /> v�/ <br /> �GAS 0 ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANV <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y J N <br /> Address License # � <br /> ELECTRICIAN COMPANV <br /> SIGNATURE REG�STERED Y J N FEE CURfiE� Y/ N <br /> Address License p <br /> P�UMBER � COMPANY �— <br /> SIGNATURE rtECisTEaEO Y 1 N FEE cuaaEn Y/ N <br /> Address License ri <br /> MECHANICAL � � COMPANY <br /> SIGNATURE ae�isreaeo Y/ N Fee euaaen Y/ N <br /> Address License # � <br /> OTHER � COMPANY MC� n � I G ��� <br /> SIGNATURE p cisreaeo Y/ N Fee cuAaen Y N <br /> Address V .L �'I � • License # � Q Q <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 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach (2) Plans; (2) sets of Building Plans; (t) set of Energy Forms; R-O-W Permit tor new construction, <br /> Minim ten (10) working days after submittal date Required onsi[e, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> S ry Faalities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL ttach (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 /> S�GN PERMIT Attach (2) sets of Engineered Plans. <br /> *""PROPERTY SURVEY required for all NEW construction. <br /> D�rec4ons: • <br /> Fill out application completely <br /> Owner & Contractor sign back of applica[ion, notarized <br /> If over $2500, a Notice of Commencement is required. (q/C upgrades over $7500) <br /> *' Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter hom owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs rf shingles Sewers Service Upgrades A/C Fences (Plot/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways needs ROW <br />