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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact fo�Permittin . <br /> Owner's Name i( � ( ' Owner Phone Number <br /> Owner's Address C`� � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS C� I � 1 VI � LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED 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 <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � � '�'(� � �j(,�,�¢ <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT <br /> QBUILDING 3 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ �-� AMP SERVICE �� PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION � "�...� G—J� 7 <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUtLDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> ELECTRICIAN COMPANY � �S-5 �C� /'C <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ,,^ � l (l License# �C"������ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REG�STERED 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 Building Pians;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submfttal date. Required onsite,Construction Plans,Stormwater Plans w/Sflt Fence installed, <br /> Sanitary FadBtles 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attac�(3)complete sets of Bufldi�g Plans plus a Ufe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcdon. <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Perm(t 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 constructlon. <br /> Directtons: <br /> Fill out applicatlon completely. <br /> Owner&Contractor sign back of applicadon,notarized <br /> If over i2S00,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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pnblic roadways..needs ROW <br />