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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �� 3�z _ a��? <br /> '� Phone Contact for Permittin <br /> Owners Name ���7 /'A-,�G� /�}L J� � Owner Phone Number <br /> Owners Address Owner Phone Number � � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 0�-r �� s � 2 LOT# � <br /> SUBDIVI310N PARCEL ID� ��t ,�1 O��� p OO �J,� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT Q SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Qy LOCK Q E Q STEEL Q <br /> DESCRIPTION OF WORK % <br /> BUILDING SIZE 3(l FOOTAGE C� HEIGHT <br /> QBUILDING 3 nD VALUATION OF TOTAL CONSTRUCTION <br /> D` <br /> QELECTRICAL S AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING a ��/4 ��✓/L��� ,tI <br /> L '.� <br /> . <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `�L ��p z�� <br /> QGAS Q�' ROOFING Q SPECIALTY � OTHER � � 32� � <br /> FINISHED FIOOR 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 L(cense# � � <br /> MECHANICAL COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address - License# <br /> `� �,4d��i/ ,�'Oo`�.✓� <br /> OTHER G �, COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addresa ,/�0�(., �3 P�.1 �� , .Z L 3 3,5�� LiCense# � p� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buflding Plans;(1)set of Energy Forms;R-O-W Pemiit for new construction, <br /> Minimum ten(10)working days after submittai date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Fad�lUes&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safey Page;(1)set of Energy Forms.R-O-W Permit for new constructlon. <br /> Minimum ten(10)working days after submfttal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliGes 8 1 dumpster.Site Work Permit for ali new proJects.All commerc(al requirements must meet compliance <br /> SIGN PERMIT Attach(2j sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW consVuctlon. <br /> Directions: <br /> Fill out applicatlon completely. <br /> Ovmer&Contractor sign back of applicadon,notarized <br /> if over i2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers Servlc�Upgrades A/C �ences(PIoUSurvey/Footage) ' ��-� _, , <br /> Driveways-Not over Counter if on public roadways..needs ROW ' r <br /> : <br /> . . .,. .. _ .. _..,, ... -. ;, ..,.... ._ . ,. . __, ,,, . . .. <br />