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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> � <br /> Dat�Received <br /> Phone Contact for Permittin _ <br /> Owner's Name /J7 f9/'//� � ✓�'2�7/7` �'/,� '�fs'� G�%�j <br /> Owner Phone Number � <br /> Owner's Address ,� "7 �2 p �/ �/�°�'�Z o'f �L�� Owner Phone Number �� <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 �7 �� �" /��� �Gl'/Z°N I�L�i�� � <br /> LOT# <br /> SUBDIVISION G�p�"'��/yG�/Z v�' , PARCEL ID# � �� S-3`!� v� 9 ��c�c�o o (�/O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN 0 Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK G�/��-'S-�' 4�� �. 5 Ta N /�J C /n U,d!Ot� yv.��� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY O W.R.E.C. <br /> OPLUMBING $ <br /> r 1 !/� �U <br /> OMECHANICAL $� �G ��j VALUATION OF MECHANICAL INSTALLATION 1 � <br /> i� �f� 7 1 <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY r- � <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 CURREh Y/N <br /> Address License# � <br /> MECHANICAL // � ���� � COMPANY V �G����'������ ..�f' C <br /> SIGNATURE � REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address ,�G �°>` '7��j f��'�'T�i-�'-e'�r"�.-f'f'33��/ �icense# �i9�°`�/�� ! <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construc6on, <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 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 construction. <br /> ii��m�i-r���iiii�r���rf������� <br /> Oirections. <br /> �++� 1 IIIi <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 over 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(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />