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�,�-�au-oazu City of Zephyrhilis Permit Appiication Fax-813-780-0021 <br /> Buflding Department <br /> Date Received � -. �3 .,,7�b ._ ,�, d p g <br /> 1 1 ' -- �Q l� phone Contact for Permittin <br /> Owner•s Name � �g �.{� �1. G S '�'��j Owner Phone Number ��"`7g�^ l b�� <br /> Oumer's Addresa ��cp�� ��1�� 9"(� p�er Phone Number —1 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addreaa <br /> JOB ADDRESS S�'�1� LOT� C� <br /> SUBDNISION PARCEL ID� <br /> (08TAINED F�PROPERTY TO nce)DEMOLISH <br /> VNORK PROPOSED e NEW CONSTR 8 AOD/ALT [� SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTIOPI Q BLOCK [� FRAME [� STEEL Q <br /> pESCRIPTION OF WORK SZ� �G�� ��"�� N Cs-�.��„g <br /> BUILDING SIZE 4'�x� SQ FOOTA(iE U NEI(iHT � �-�"C�G <br /> BUILDING S � �_�,,c�'� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING a � <br /> ( �53� <br /> QMECHANICAL � VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING [� SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ` COMPANY �—���-��-� ��� <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y/N <br /> Address Ucense# � <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 /> Addross License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Mfnimum ten(10)worlcing days after submittal date. Requfred onsite,Construcdon Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary FadliNes b 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL AtNach(3)complete sets of Buildl�g Plans plus a Lffe 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,ConstrucUon Plans,Stormwater Plans w/Silt Fence i�stalled, <br /> Sanitary Fadlitles 8 1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engfneered Plans. <br /> '•""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fil�out applicatlon completely. <br /> Owner 8 Contractor sign back of applicaHon,notarized <br /> If over i2500,a Notice of Commencement is requlred. (AIC upgradea over i7500) <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 PERMIT7'ING (Front of ApplicaUon Only) <br /> Reroofs if shingles Sewers • Service Upgrades A/C Fences(PlodSurvey/Footage) <br /> Drivewaya-Not over Counter if on pubUc roadways..needs ROW <br />