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813-780-Q02Q City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> - Building Department <br /> Date Received � ✓1�i� /�Q!'� _► ,,�y <br /> Phone Contact for Permitting u Ut LpCJ�1 <br /> Owner's Name f ��;C' Owner Phone Number •�, <br /> Owner's Address f] 11" S�'1�Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ° �� LOT# C� <br /> SUBDIVISION , PARCEL ID# � • �lP � 1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR �'�;� <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK E � c�,(�j ' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ --� VALUATION OF TaTAL CONSTRUCTION <br /> . <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> �PLUMBING $ � 7/� / <br /> l r� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO <br /> f '� <br /> (�� `�..__--°�, <br /> QGAS 1 �CI ROOFING Q SPECIALTY 0 OTHER <br /> �7`\ <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 I 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 REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY �J� �U U� ,� <br /> SIGNATURE � REGISTERED Y/ N FEE CU Y/N <br /> Address 3� License# ��J���� <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 /> Sanitary Facilities&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 constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is required. (AfC upgrades over 57500) <br /> ** Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers . Sen�ice�IpgradeS,A�C, , Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW � ��� ' � ' `" <br />