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a,s-�nu-ouzu Ciry of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin __ <br /> Owner's Name �d/4�"�� �, r�� %�' Owner Phone Number <br /> Owner's Address ;� 4 if r�7`� ovt �' . � <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> J08 ADDRES3 O Q � J^Q/L �oh �, ZP /-Li���S �jj�CS LOT� � <br /> SUBDIVISION PARCEL ID�R <br /> (OBTAINED FR�OM PROPERTY T�TicE1 DEMOLISN <br /> MfORK PROP03ED � NEW CONSTR 8 ADD/ALT � SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE UF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �c rv� �'o �-- �ti f F Y' ]���'�F�` <br /> BUILDING SIZE SD FOOTA(iE� HEIGHT <br /> QBUILDING 3 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING sS� • Q� <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR EIEVATIONS 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 /> Addrcss License# —� <br /> PLUMBER � ��-7 COMPANY �'0 /YI e D KJ�9 P 1"' <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# —1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pennit for new construction, <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles�1 dumpster;Site Work Permit for subdivisions/large pro)ects <br /> COMMERCIAL Attach(3)complete sets of Buflding Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new conshuction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities b 1 dumpster.Site Work Permit for all new projects.All commerc(al raquirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •'•'PROPERTY SURVEY required for all NEW construcdon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner�Conlractor sign back oi applfcaHon,notarized <br /> If over i2S00,a Notice of Commencement Is required. (AIC upgrades over 57500) <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 PERMITTlNG (Front of AppNcaUon Only) . <br /> Reroofs if shingles Sewers Serv(ce Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />