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sisaso-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received phone Contact for Permittin ' 3� <br /> Owner's Name �� �` ��`',�� r� ���J �L Owner Phone Number !� S�` � 7 � <br /> Owner's Address �" � � a�'► b Sr(� 1/� C t�hA.�-,� �'• E�Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��D � � � I �� v�' LOT # � <br /> SUBDIVISION , PARCEL ID# ;� ' a� �"�� 3 � " d O v G O S O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADDIALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> 0 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> [�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � � S �` (� � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � � I�/� <br /> �P���''f <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � ����� � <br /> �� `� � -il <br /> � <br /> BUILDER � COMPANY �l S /.� G{� <br /> SIGNATURE REGISTERED Y/ N FEE RRE� Y/ N <br /> Address ' 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 CURRE� Y/ N <br /> Add�ess 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 CURREA 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 onslte, Construcbon Plans, Stormwate� Plans w/ Silt Fence installed, <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 construcdon. <br /> Minimum ten (10) working days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new proJects. Ail commercial requirements must meet compltance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> *'*`PROPERTY SURVEY required for all NEW constructlon. <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 57500) <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 Service Upgrades AIC Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />