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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phona Co tact for Parmittin _ <br /> Owner's Name �. ,b��Q I�-S . �3' /��— ?��?� <br /> Owner Phone Number (� <br /> Owners Address ��� � Owner Phone Number <br /> Fee Simpie Titleholder Name Ownsr Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � ��� �✓� ��r�,�',lls ,j��J . <br /> LOT# <br /> SUBDIVISION PARCEL ID# �/ �� �'� OO�� �3��O f� �7� <br /> (OBT/UNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER mo �b C <br /> TYPE OF C�NSTRUCTION Q BLOCK � FRAME Q STEEL Q <br /> DESCRIPTION OF WORK C � � �� �'�S , <br /> BUILDING SIZE v���� � $p FOOTAGE ��� HEIGHT / ] <br /> QBUILDING E � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING s � <br /> [�MECHANICAL a �D�� VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOO ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRFJ� 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/N <br /> Address ' � Ucense# <br /> � i ) /� <br /> MECHANICAL � /, ,(� COMPANY /�B�✓ /� �5 r^�C � <br /> SIGNATURE W"� '�`" L— REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C.�/�rC l � �� <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# —� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bufiding Plans;(1)set of Energy Forms;R-O-W Permit for new oonstrucGon, <br /> Minimum ten(10)woilcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadliGes&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 constructlon. <br /> Minimum ten(10)worlcing days aTter submittal date. Required onsite,Constructfon Pians,Stormwater Plans w/Siit 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 consVuction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicatlon,notarized <br /> If over i2500,a Notice oi Commencement Is requlred. (A!C upgrades over 57500) <br /> '" Agent(for the contractor)or Power of AtComey(for the owner)would be someone with notarized ietter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />