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813-780-0020 City of Zephyrhilis Permit Appiication � Fax-813-780-002t <br /> Building Department <br /> Date Received, " �' C v phone Contact for Pertnitting �..]� i <br /> Owner's Name 5� � �,� \\1� Owner Phone Number <br /> Owner's Address ���S �a51 � � OWner Phone Nlumber <br /> Fea Simple Titleholder Name Owner Phone Nlumber� � <br /> Fee Simple Titleholder Add�ess I <br /> JOBADDRESS �j Lj� SI ►� I LOT# � <br /> SUBDIVISION S "�� � PARCEL ID�! I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT Q SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER I r' <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q OTHER /`'� <br /> DESCRIPTION OF WORK ����Q �1 ���-� f�,� �- � �� � r��'� �7 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT I �1� <br /> i ' i s\V <br /> � <br /> � BUILDING $ �� - VALUATION OF TOTAL CONSTRUCTION <br /> Q ELECTRICAL $ AMP SERVICE � IROGRESS ENERGY Q W.R.E.C, <br /> � PLUMBING $ iJ ��) „� <br /> I LT '( ��,,,,,,# <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALI TION � ��`� <br /> � GAS Q ROOFING � S�dX4�� <br /> Q SPECIALTY Q OTHER / � �/��� <br /> ��� / <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYIES QNO <br /> BUILDER _-_1 COMPANY � �G —� <br /> SIGNATURE REGISTERED Y 1 N FEE CURRENT Y 1 N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT , Y/N <br /> Address Q 5 License# 307>� U A w <br /> � I � (� <br /> PLUMBER COMPANY V � <br /> SIGNATURE REGISTERED Y/ N FEe cuRRENi Y/N (� O <br /> Address License# � h <br /> I � � <br /> MECHANICAL COMPANY j x <br /> SIGNATURE REGISTERED Y! N FEE CURRENT Y/N y <br /> Address License# ; `�+ <br /> �r <br /> OTHER COMPANY I � � <br /> SIGNATURE REGISTERED Y J N FEE CURRENT Y/N �..� <br /> H <br /> Address `� <br /> License# z <br /> � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit�for new consVuction, '� <br /> Minimum ten(10)wodcing days after submittal date. Required onsite,Construction Pla�s,Stormwater Plans w!Sllt Fence installed, <br /> Sanitary Faalities 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 Fo I s.R-O-W Permit for new construction. � <br /> Minimum ten(10)working days after submittal date. Requfred onsite,ConsVuctlon Plans,Stormwater Plans w/Silt Fence installed, . •� <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.AII commercial riquirements must meet compliance <br /> SIGN PERMiT Attach(2)sets of Engineered Plans. �, <br /> °"PROPERTY SURVEY required for all NEW construcdon. I <br /> � �. � � <br /> Directions: y � � <br /> Fill out application completely <br /> Owner 8 ConVactor sign back of applicatlon,notarized � <br /> �f over$2500,a Notice of Commencement is required. (AIC upgrades over 55000) I <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter frqm owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A!C Fences(Plof/Survey/Footage) <br /> Driveways-Not over Counter i�on pu'�IPc"fS'ABWayS.:iteetl5'ROW <br /> ,.� . _ �'�"�." - - _ ^`..,._......, .,...o- <br /> i....�I ,�....��.Ks <br />