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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin - <br /> Owner's Name C� l�.��-� ��i ✓Lti � ��� �t�' Owner Phone Number D i%'- �i� S�a� � <br /> Owner's Address �`������ �"l ��% "�-- Owner Phone Number <br /> Fee Simple Titleholder Name �— � Owner Phone Number �— � <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS I�-✓� ���� �l '�^ �v'Z Z f�� � � ��S LOT# � <br /> SUBDIVISION PARCEL ID# i (�z �D� Z-� � U�( � " C� �l�( C%'O- �-� �2 5 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK L� �d C��� ����� � � I <br /> BUILDING 312E �— � SQ FOOTAGE � (p 1� I'� HEIGHT �} <br /> OBUILDING $ I ���, VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ O ��� <br /> �l �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> r <br /> � / '// ..�--r '�G'/N�.p� <br /> BUILDER /! ,/���(!;f �� °'-" COMPANY `''� <br /> SIGNATURE l �� � ��' REGISTERED Y/ N FEE CURRE� Y 1 N <br /> > <br /> Address ���tP C�> �l� t �t-- License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA 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 I N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License t� � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consUuction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater P�ans w/Silt Fence installed, <br /> Sanitary FaGlities 8 1 dumpster;Site Work Permit for subdivlsions/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 consUuctlon. <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 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 consUuctlon. <br /> DirecNons: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A!C upgrades over i7500) <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 />