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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ''l�j '%�-----�-_ Phone Contact for Permittin 0�3 � — � <br /> Owner's Name , � Owner Phone Number ��`� ��—y��� <br /> Owner's Addresa '3 7�s� �d u � �[�� Owner Phone Number � <br /> Fee Simpte Titleholder Name Owner Phone Number � <br /> Fee Sfmple Titleholder Addresa <br /> JOB ADDRE33 �S� � OGp LOT# y� <br /> SUBDNISION vI �/e/� D(�d �R—� PARCEL ID# 43—� 4�+�'-° ��aO"�� O 7� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL ' REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q <br /> UESCRIPTION OF WORK �Q X i7 �l/�I�I Gz1�G� <br /> BUILDING SIZE �O X�7 SQ FOOTAGE I��D HEIGHT <br /> �BUILDING $�/�-�—�� Oa VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �ASt�O PERMITSEpyi� <br /> (813)78g-6314 <br /> OMECHANICAL a VALUATION OF MECHANICAL INSTALLATION ���"HBB-$�4..�� <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER � �j�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES Np � <br /> BUILDER � ���-���� COMPANY �� � �''S� � �/IG . ! ��.� . <br /> SIGNATURE ! REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �5�yo j6� �/ Z License# <br /> /_ . ,�` �?- <br /> ELECTRtC1AN � �/I/��I COMPANY �Ct/"�//I � Y�'lC ' JV� <br /> SIGNATURE �'� REGISTERED Y/ N FEE CURREI+ Y/N <br /> Address 1yP a� �U�"� • � • License# C <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL � �/ % /����� � COMPANY 'tJu-+i/�:l PI'O �J' � <br /> SIGNATURE �Nd`/"��-►`"'W� REGISTERED Y/ N FEE CURRE� /N <br /> Address yyy/ �-- 2 , ' License# I <br /> OTHER COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas License# � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadllUes 8 1 dumpster;Site Work Pennit for subdivisfons/large projects <br /> COMMERCIAL Attach(3)complete sets of Bufldfng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon. <br /> Minimum ten(10)working days after submitNal date. Required onsite,Constructlon Plans,Stonnwater Plans w/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 Engtneered Plans. <br /> •'""PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fili out applicaHon completely. <br /> Owner&Coniractor sign badc of applipUon,nota�ized <br /> ti over 52500,a Notice of Commencement la required. (AIC upgrades over ST500� <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />