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s�a-�so-oozo City of Zephyrhilis Permit Application Fax-813-780-0029 <br /> Building Department <br /> Date Received �"�� �/� Phone Contact for Permittin �� 3 .70 ~ 2 ` � <br /> Owner's Name !% �U� �Y e S Owner Phone Number <br /> Owner's Address ✓" D� v U�- Owner Phone Number C <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Tftleholder Address <br /> JOB ADDRESS ��� ��� � LOT# �� <br /> SUBDIVISION PARCEL ID# i% � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL 0 <br /> DESCRIPTION OF WORK ��G..}7�4C�- /:n ��6D� /3�a� ��'�en � K� 4i�- .ZXy <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT ] <br /> BUILDING $ r '— VALUATION OF TOTAL CONSTRUCTION <br /> � v <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � � �I � � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> BUILDER C � COMPANY ���� . <br /> SIGNATURE REGISTERED / N FEE CURRE� Y/N <br /> Address 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 J N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r <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 in�talled, <br /> Sanitary FaciUties 8 1 dumpster;Site 1Nork Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach_(3a complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W IPermit for new construction. <br /> Minimum ten(10)working days after submittai 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(21 sets of Enoineered Plans. <br />