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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Depa�tment <br /> Date Received Phona Contact for Permlttin 7a7 Z Z� _�38 � <br /> Owner's Name �l �IM � Owner Phone Number lG� � ' .3 3�"`5�.3Z <br /> Owner's Address �8 5�� �N��C� ���►�- Owner Phone Number <br /> Fee Simple Titlehoider Name �— Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �8 3 � 7 ...1-���r�� �e�iG� LOT# � <br /> SUBDIVISION �y�,�!c� z •� l� , PARCEL ID# �z —26�Z�'�Z�A '�a�� "- (�t� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��r*� � Z 5"�� �3�-�� I�-h.PevY1 S� Ii �I' + �.-,,� <br /> BUILDING SIZE SQ FOOTAGE ���y HEIGHT <br /> OBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � � �ZS{_ <br /> ;�� <br /> �MECHANICAL $ �C ��� VALUATION OF MECHANICAL INSTALLATION <br /> [�GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ 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!N <br /> Address <br /> License# <br /> MECHANICAL COMPANY f-i'�r`c�'�^ �'�"�- '`�f �tii� ��� <br /> SIGNATURE REGISTERED N FEE CURRE� N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <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 wl Silt Fence installed, <br /> Sanitary Facilities&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 construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet wmpliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '""PROPERTY SURVEY required for all NEW construction. <br /> 1� J�II�ITTlI111Tr11�111�1111l111 <br /> 1 1 LJ.LL 1 LJ.Lil 1 1 L ���1 <br /> Directions. <br /> Fiil out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over s7500) <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(Plot/Survey/Footage) <br /> Driveways,Not over Counter if on public roadways..needs ROW <br />