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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received � ��� ?/ phone Contact for Permittin ' _ <br /> : <br /> Owner's Name -t- o � }`�L 1\S Owner Phone Number <br /> Owner's Address �'� ��j �--�`� c_ Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 5�35 � ,� � <br /> - Y>�c� �l 335`t-z, LOT#' <br /> SUBDIVISION � , PARCEL ID# 1� �� o b o 0 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R 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 s�� „�. r� -�-� � � t -S U � °� �- 5 <br /> 2 �",`�.��., <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � ��� j �� <br /> ! <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION r0�� ' � ` <br /> �'�}4' <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.�' <br /> �PLUMBING $ Jf� <br /> 1 � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '�! � 3 2' � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS ����vc, FLOOD ZONE AREA QYES NO <br /> c- <br /> BUILDER ` COMPANY Q�-� `��� �� �6 � � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address - �-� `-t� ���i ����,L� ����� � l ���l License# �,CGO�� �3 L}— <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 /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buildfng 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 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,Construction Plans,Stormwater Plans wJ 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(2)sets of Engineered Plans. <br /> '"`*PROPERTY SURVEY required for all NEW construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commenceme is e ir d. ( C upgrades over E7 "'� ` """''''"""'�""°`�"d"µ`��4.��'�� <br /> ,+�,�.�r�..�� <br /> " Agent(for the c tractor)or Power of Attomey(for the owne would be someone wi notarized letter from owner authorizing sarr�; <br /> OVER THE COUNT ERMITTING y ' � <br /> ,� (Froci�,•,of Appli�aC�rf I ) - * <br /> Reroofs if shingles ;,Sewers Servic,�l�p;�ade$�G",' - ences(PIoUSurvey/ tage) � <br /> . � <br /> Driveways-Not ver Counter if on�ublic roadwa s..needs ROW �ir�'aa"`�'° �" '"" �' """�"�' `"°"'�"p""`� <br /> ,�,�„� ..t-.....���..,,�,�.... <br />