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. 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> ° Building Department � <br /> r� . <br /> Date Received R / <br /> �✓ 3 �� Phone Contact fo�Permittin � 7 � �`�j78 <br /> Owner's Name '� �S' �C� �a M�/� Owner Phone Numbe� .SIR�E- <br /> Owner's Address $.� �� � Z�" � , Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addreaa <br /> JOB ADDRESS ' S� � �t�' ��" LOT# �� <br /> SUBDIVISION ( PARCEL,. — � ,_,'Z�"" JJ U-� �"'(�� � <br /> OB NED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADDlALT [� SIGN [� Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �� �PGAC� St� //lJC-�, (� �pQ� �Tf+ fI/t�`7-AL_ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> BUILDING t' $! O�O � VALUATION OF TOTAL CONSTRUCTION A,i`r"�� �� <br /> i� � , ------ _._.._----.__._. _.. /1/F- <br /> QELECTRICAL a M AMP SERVIC� Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ E�v�l'�/j ���� !�'` ��U�� i��������� ,I-` <br /> _. ----�j' �����--.�._._.._-----_-__.�_ <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION -=-�_��"'�"""�T� <br /> �� _ <br /> QGAS [� ROOFING Q SPECIALTY � OTHER �3� <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 CURREP 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 Buflding Plans;(1)set of Energy Fom►s;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Requfred onsfte,Constructfon Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary FaclUUes 8 1 dumpster:Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Ufe Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon. <br /> Minimum ten(10)wo►king days after submittai date. Required onsite,ConstrucNon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary FaciliNes 8 1 dumpster.Site Work Pem►it for all new projects.All commercia�requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Ffll out applicatlon completely. <br /> Owner&Contractor sign back of applicatlon,notarfzed <br /> If over 52500,a Notice of Commencement is requlred. (AIC upgradea over:7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owAer authtlNzfng same <br /> OVER THE COUNTER PERMITTING (Front of AppUcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />