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a�s-�aaoozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin •- <br /> Owner's Name Q �'� �9+�r�`'� �"� Owner Phone Number <br /> Owner's Address 5� T ! � � r� S * Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Sfmple Titleholder Address <br /> JOB ADDRESS J I �� ( � � "5 t 2�-/��7 �' � , �I S � t LOT# � <br /> SUBDIVISION PARCEL ID� I��Z� Z�-C�O��` C'���v d D v/.j <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CON37RUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK v� �/'} (J T S,�7� � ( � S�"i '°`S L,�� <br /> BUILDING SIZE � SQ FOOTAGE � D s HEIGHT �� <br /> QBUILDING S � 7S�� �� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ,., a�jfg� <br /> ��/ � <br /> QGAS � ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY � � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas 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 CURRE� Y/N <br /> Address License# � � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N <br /> Address License# � <br /> OTHER �� COMPANY Cd/� �tQ'4 C�CGKQdi ��d T'�� <br /> 3IGNATURE L�����""'� REGISTERED Y/ N FEE CURRE� Y/ <br /> Address ��V?� � � �� �k�ti �� �3� 7 L Ucense# C�e C d`�7�5 � <br /> RESIDENTtAL 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 aRer submittal date. Required onsite,Construction Plans,Starmwater Plans w!Silt Fence instal�ed, <br /> Sanitary FadliNes 8 1 dumpster;Site Work Permit for subdivisfonsllarge 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 constructlon. <br /> Minimum ten(10)working days aiter 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 construcdon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over s2500,a Notice of Commencement la 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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />