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- ' 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received '� — �i�--__., phone Contact for Permittin — <br /> i� <br /> Owner's Name '.��r�'`' � � �w Owner Phone Number <br /> Owner's Address � S ! � U '� '✓ ' � �e Owner Phone Number � <br /> Fee 5imple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �J � / /v v� ✓ �� � � LOT# � <br /> SUBDIVISION , PARCEL ID# 0 Z-�' 2 �'�Z J•'C�O Z/� �C�U�v c7� O c� 3�'j <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER �— <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK i��-V UV� � ' °L 3� y,t�l,V �jt� �[t�M.56-e.-✓ I l rQ � 1� <br /> BUILDING SIZE SQ FOOTAGEC� HEIGHT �� <br /> OBUILDING � �V VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> QELECTRICAL $ AMP SERVICE ��" PROGRESS ENERGY Q W.R.E.C. <br /> /f� ��PLUMBING $ + \ �j��� ����, <br /> / =.•y---T _ <br /> OMECHANICAL $ VALUATION OF MECHA ICAL INSTALLAT�`—�J_."-l "- <br /> —.""""_ <br /> �GAS � ROOFING Q SPECIALTY � OT � <br /> � �9� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES N <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 Ucense# <br /> OTHER �� - COMPANY �J �b//�� �C C yV/�h �DU <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address �(l�/l�,Q. (�� �H �� � 3 zr s 7�. License# ��.C-L v� 7� s` / <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 instalted, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans pius 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 Plans w/Silt Fence installed, <br /> Sanitary Facili6es&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 application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 37500) <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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />