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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> � <br /> Date Received /—�' Phone Contact for P rmlttin 3SZ- �7 _ QO�� <br /> Owner's Name L L C• LCG /� ~Owner Phone Number �/,3�' 6' <br /> Owner's Address 7 ZJr 20 tN ��T 2. Owner Phone Number � <br /> Fee Simple Titleholder Name T•.,,. Owner Phone Number C <br /> Fee Simple Titleholder Address � '�. <br /> JOB ADDRESS Z S 2o r'y ST — Z,�/��� L Z LOT# � <br /> SUBDIVISION PARCEL ID# �'J�'2�'z�'GD/�•�'�dd'p6'�o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK GONG/z/=T� SL,/�/,� W/T�7� /�TAL /�/2iqG� <br /> BUIIDiNG SIZE �, 2' SQ OTAGE � �Y HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 23z. 9S <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ '" � ��� `--��� <br /> �._.------_....._.— <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ������ <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR EIEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � " I v COMPANY �G���� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' License# C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <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# C <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <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 onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster;Site Work PeRnit for subdivisionsllarge 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 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 /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'*'PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out appiication completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AlC upgrades over$7500) <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 A/C Fences(PlobSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />