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813-780-OU20 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received —( �� ?� <br /> Phone Contact for Permittin _ <br /> Owner's Name D Owner Phona Number <br /> Owners Address �� hone Number —� <br /> Fee Simple Titleholder N Owner Phone Number <br /> Fee Simple Titleholder Addreaa <br /> JOB ADDRESS LOT# C� <br /> SUBDIVISION PARCEL ID� <br /> (OBTAINED FR�OM pROPERTY T�nce)DEMOLISH <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL [� <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ F AGE�� HEIGHT <br /> QBUILDING <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING a <br /> QMECHANI AL a VALUATION OF MECHANICAL INSTALLATION �r <br /> QGAS Q ROOFING Q SPECIALTY [�] OTHER I �l �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Add�ess Ucense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address L(cense# <br /> MECHANICAL COMPANY <br /> SIGNATURE - , REGISTERED Y/ N FEE CURREP Y/N <br /> Address �+' Licens # <br /> OTHER , COMPANY <br /> SIGNATURE REGISTERED Y FEE CUR � Y/N <br /> Addresa / Ucense# <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)woilcing days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles&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 construcdon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new projects.All commerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"•PROPERTY SURVEY required for all NEW constructton. <br /> Directlons: -- � �� <br /> Fill out applicatlon completely. <br /> Owner&Contractor sign back of applicatlon,notarized <br /> If over iZ500,a Notice of Commencement Is required. (AIC upgradea over:7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone wlth notarized�etter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) '��' <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plof/Survey/Footage) <br /> Driveways-Nat over Counter if on public roadways..needs ROW <br />