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�,�� 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> `�� Building Department <br /> �\ <br /> Date Received <br /> Phone Contact for Permitting _ <br /> Owner's Name ` � ' Owner Phone Number / — <br /> Owner's Address �V/�-Q ["h� ✓ ,�Q Clf' Owner Phone Number ( �� �/7S <br /> Fee Simple Titleholder Name � L t�.,. Owner Phone Number "'` <br /> Fee Simple Titleholder Address `� <br /> JOB ADDRESS � .�� , .�' ` LZ Z I� G/�"' •� • 'L• � LOT# � U <br /> SUBDIVISION (/�;� ���� / PARCEL ID# I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CONS7R 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTIO �Q BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WOR�� /� // %- � _ <br /> � G( � �7'I�.. CGf 5 � <br /> BUILDING SIZE SQ FOOTAGEC� HEIGHT <br /> �BUILDING . � VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> ��5 '� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ��Cf� <br /> � l <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER /-, ' COMPANY C(/KJ1�,Q,lL�• <br /> SIGNATURE � '�' (/ � ,� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' License# <br /> ELECTRICIAN COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Lfcense# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y 1 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 for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> 5anitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a L(fe 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 ali NEW construcUon. <br /> ���„�„����„��.���� <br /> � u�� a i u aliu a 1� <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 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(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />