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ai3-7ao-oozo Gity of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �_ , �� phone Contact for Permitting ( �j �7U -- tp ) � <br /> Owner's Name (�'� �P/� , C �� r �_ Owner Phone Number � —� — �� � <br /> ,�./ � ) <br /> Owner's Address � / 1�.-( i'?�S � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number� � <br /> Fee Simple Titleholder Address <br /> J08 ADDRESS 3� a r � � '�� � h� S � LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN � MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME � STEEL Q OTHER <br /> DESCRIPTION OF WORK '(C(/" �-�C� - � � �r �—�� <br /> BUILDING SIZE � � SQ FOOTAGE HEIGHT �� <br /> 0 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTR�CAL $ � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> 0 PLUMBING �$ � � � � 2�(� <br /> � C7 <br /> 0 MECHANICAL $ ���� ps VALUATION OF MECHANICAL INSTALLATION <br /> � GAS � ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA �YES �NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address � License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � � <br /> MECHANICAL COMPANY �- � � �� ` <br /> SIGNATURE REGiSTERED Y/ N FEE CURRENT Y/N <br /> Address �(���{� � � , � L... 3'3`��Z License# ` � ��� "i� 1 � , <br /> OTHER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> RESID�NTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of E�ergy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submiltal date. Required onsite,Construction Plans, Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> C�MMERCIAL 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,Construciion Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities& 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 construction. <br /> Directions: <br /> Fill 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$5000) <br /> '" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />