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a�3-�ao-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ,3 � Phone Contact for Permitting 8�� T�z - _ �'p/ <br /> Owner's Name 'rC � Owner Phone Number Z"��Y <br /> Owner's Address �y y ��� � Sj Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number -1 <br /> Fee Simple TitleholderAddress `S'arn � <br /> JOB ADDRESS `�/ � �G��l ,�j LOT# � <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CONS7R 8 ADD/ALT � SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM C� OTHER <br /> TYPE OF CONSTRUCTION O BLOCK � FRAME � STEEL � <br /> DESCRIPTION OF WORK /C, � /� � (/�v � � �"" <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ��� <br /> MECHANICAL ( � <br /> $ VALUATION OF MECHANICAL INSTALLATION '� <br /> QGAS Q 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 CURREP Y/N <br /> Address License# -� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL � COMPANY �-°�G 6 y'�?� 5/� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# -� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit far new construction, <br /> Minimum ten(10)working days after submittal date. Requi�ed 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 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 8 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 construcUon. <br /> ITI ln���rT11��f��r����r• <br /> Directions. "" `+''"'���� <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over;2500,a Notice of Commencement is required. (A/C upgrades ove�57500) <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />