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a�s-�eo-oo2o City of Zephyrhilis Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin -_ <br /> Owners Name �� �r Owner Phone Number g ��J` ��3"��p�� <br /> Owner's Addreas � �! { ���(' � Owner Phone Number ������— �' l g� <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION VI��J�� �Q�rpARCEL ID# <br /> �OBTAtNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT [� SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � e <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT _� <br /> QBUILDING S r1�QO VALUATION OF TOTAL CONSTRUCTION <br /> G <br /> DELECTRICAL � AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING $ Z�j�D <br /> � l3 <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPANY �i�tJ'�,,�' <br /> SIGNATURE REGISTERED �/ 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/N <br /> Address License# � <br /> OTNER COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURREA Y/N <br /> Address License# C � <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new oonstruction, <br /> Mi�imum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadiitles&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 Pertnit for new construction. <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 all new projects.AII commercia�requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out application coh�pletely. <br /> Owner 8 Contracto�sign back of applicaUon,notarized <br /> If over=2500,a Notice of Commencement is requlrsd. (A/C upgrades over 57500) <br /> '" Agent(for the contractor)or Power of Attomey(for the ovmer)would be someo�e with notarized letter from owner�utfiorizing same • <br /> OVER THE COUNTER PERMITTING (Front of Appliption Or�y) • <br /> Reroofs if shingies Sewers Service Upgrades A/C Fences(PIof/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />