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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � 3 �i Phone Contact for Permittin � – <br /> Owner's Name }�= �° �P Owner Phone Number � �� � � � � � <br /> Owner's Address � r� � Owner Phone Number �— <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titteholder Address <br /> JOB ADDRESS �� � P�"1 . �� �S`� a LOT # � <br /> SUBDIVISION �1 � L�Y C�� , PARCEL lD# �j <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL B REPAIR � ��-�-` <br /> PROPOSED USE � SFR � 1 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK T p�-f - c�� r.� �pp� '� � ( — � � �y e d <br /> �� f� �0.�1 L <br /> BUILDING SIZE � � SQ FOOTAGE���� HEIGHT <br /> QBUILDING �"') VALUATION OF TOTAL CONSTRUCTION <br /> ,� <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> MEC A �` � � � <br /> Q N NICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS �� ROOFING Q SPECIALTY [� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 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 /> 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 C E� Y/ N <br /> Address f��l u5 � I License #� � �� <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new constructlon, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater 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 Safery 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 P�ans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster. Site Worlc 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 construcUo�. <br /> Directions: - • � � . , . <br /> Fill out application completely. <br /> Ovmer 8 Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over i7500) <br /> "* Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized fetter 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 />