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�813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0 <br /> ' . Bui�ding Department �'C�-t�l <br /> Date Received • �� � Phone Contact for Permitting -' <br /> �er's Name d 1` �l c� Owner Phone Number ��O- Z Z _ <br /> Owner's Address '` 17'!,r' L' ► Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �O '� LOT# �� <br /> SUBDIVISION � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR � ADD/ALT Q SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER L-4 <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL � OTHER —� <br /> DESCRIPTION OF WORK , ��'` � �' �i <br /> �Z � , <br /> 2� S� <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> �� BUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> �� <br /> � ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> � PLUMBING $ <br /> � MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS Q� ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA �YES �NO <br /> BUILDER COMPANY I�II��� ` �1��1k�C�.-�1► <br /> SIGNATURE REGISTERED / N FEE CURR T Y N � <br /> Address ��"1�� ug �� �Q G �) '�J 3 License# �(,,(,(. �3Z`)v�Z+ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# ,_ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRENT Y/N <br /> Address License# � <br /> "�ECHANICAL COMPANY <br /> 3NATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address � License# �— <br /> 07HER COMPANY <br /> S1GiJATURc f;EGl3''ER�D Y i I`� FEE CUP.P.�NT Y/N <br /> Address License# � <br /> -- _ __—_ _ ___-------�•�-•�� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms <br /> Minimum ten(10)uyorking days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&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 of Engineered Plans. <br /> *'"�PROPERTY SURVEY required for all NEW construction. <br /> ,� <br /> rections: <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 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 Seroice Upgrade� A/C Fences(Plot/5urvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />