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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-002 <br /> Building Department �� l' <br /> Date Received <br /> Phone Contact for Permitting -- <br /> �er's Name � Owner Phone Number 2'� 1 -`tv I <br /> Owner's Address k e.. r. (.� s Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 2Z f �,1w \ti � Z LOT # �� <br /> SUBDIVISION r��VQj( U�A� � PARCEL ID# D - Z' - "U � JJJ- �?1 � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT Q SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM �— OTHER �-Q <br /> TYPE OF CaNSTRUCTION Q BLOCK � FRAME Q STEEL Q OTHER <br /> / �; <br /> DESCRIPTION OF WORK ' e � � �- J� # 1 ' <br /> BUILDING SIZE � SQ FOOTAGE "1.3G HEIGHT <br /> �� BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> � ELECTRICAL �$ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> � <br /> � PLUMBING $ � <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � GAS �� ROOFING � SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES QNO <br /> BUILDER � ���`� �7�j COMPANY 1� I11 UaC ► l <br /> SIGNATURE ,i l REGISTERED 1 N FEE CURR T Y N <br /> Address ! �t � � (,.�g �� �e G �� ? J 3 License # �(,�.�, ��jZ, )�`� Z..� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # �— <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y! N <br /> Address License # � <br /> MECHANICAL COMPANY <br /> �iNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � <br /> OTHER COMPANY <br /> SiGiJilTURc � RcG�3TEft�J Y/ P! F�E CURP.�NT Y/ N <br /> Address License # �— <br /> r�ESI�E7�TfFiL Aitach (2) �iot t�ians; (2) sets of Building Plans; (1) set of Energy Forms <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities 8 1 dumpster <br /> COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities 8 1 dumpster <br /> All commercial requirements must meet compliance. <br /> SIGN PERMIT Attach (2) sets af Engineered Plans. <br /> '*"'PROPERTY SURVEY required for all NEW construction. <br /> rections: <br /> Fill out application completely <br /> Owner & Contractor sign back of application, notarized <br /> If ove� $2500, a Notice of Commencement is rcquired. (A/C upgrades over 55000) <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 AFplication Only) • <br /> Reroofs Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways. needs ROW <br />