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�is-�au-uozu City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Co�taCt for Pertnittin __ <br /> Owner's Name Owner Phone Number <br /> Oumer's Address Owner Phone Number �— <br /> Fee Simple Titleholder Name � Owner Phone Number � � <br /> Fee Simple Titieholder Address <br /> JOB ADDRESS LOT# C� <br /> SUBDNISiON PARCEL ID!! <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> VYORK PROP03ED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CON3TRUCTIOM Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDINf3 SIZE 3Q FOOTAGE U HEIGHT ] <br /> �BUILDING 3 � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING a <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINiSHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SiGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address License# � —� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addross License# �— —� <br /> PLUMBER COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y!N <br /> Address License# �— � <br /> OTNER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Addross License# � —� <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consVuction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles 8 1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a LNe 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,Co�struction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary FadUHes 8 1 dumpster.Site Woric Permit for all new projects.Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ••••PROPERTY SURVEY requfred for all NEW consVuctlon. <br /> Directiona: <br /> Fill out application completely. <br /> Owner&Contractor sign badc of applicallon,notarized <br /> If over 52500,a Notice of Commencement Is required. (A!C upgradea over:7500) <br /> •• Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of AppllcaUon Only) <br /> Reroofs if shingles Sewers •SeMce�Upgrades A/C Fences(PIoUSurvey/Footage) <br /> ; <br /> Drivewaya-Not over Counter if on public roadways..needs ROW' <br />