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813-780-OQZO City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting C� 1 1 -- <br /> Owner's Name � ' Owner Phone Number � <br /> Owner's Address '�" . �S O�e�r�Phone Number —� <br /> Fee Simple Titleholder Name Owner Phone Number [ —� <br /> Fee Simple Titleholder Address —� <br /> JOB ADDRESS ��p( ,� g� ��(� , ,�� ��r�1 S ,� 1 ��J�io� LOT# C� <br /> ,.��, <br /> SUBDIVISION PARCEL ID# I � "'�� r �I' O�`O ^ �{g�C"�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT Q SIGN Q MOVE 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM Q OTHER � <br /> TYPE OF CONSTRUCTION � BLOCK 0 FRAME Q STEEL � I�THER <br /> DESCRIPTION OF WORK T�TV C� 1 n����—�- '�'i�'�,rl 1,3��� � <br /> 1 � + <br /> BUILDING SIZE � SQ FOOTAGE � HEIGHT �� <br /> � BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AMP SERVICE 0 �P OGRESS ENERGY � W.R.E.C. <br /> � PLUMBING $ /Y,��`"� ' � /� � � !`�� _ <br /> [�] MECHANICAL $ �, VALUATION OFIGIECHANICAL INSTALLATION `�' <br /> � GAS 0 ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES [�NO <br /> BUILDER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address � License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> MECHANICAL COMPANY ty�` '"�,�� '�� Y" ��1(1C� —� <br /> SIGNATURE REGISTERED Y/ N FEE C—UR— R� Y/N <br /> Address � � 1s� yo� License# G�_`�I y �� `(j <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> RESID�NTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcUon, <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 subdivisionsllarge 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 afler submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.5ite 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 /> �irections: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades aver$5000) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone wilh notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> �riveways-Not over Counter if on public roadways..needs ROW <br />