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�,s-rtlacn,zu City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Buflding Department <br /> Date Received <br /> Phone Contact for Permittin <br /> Owner's Name �° ,��i� � Owner Phone Number /3 � . � <br /> Owner's Addresa 3 ��-� ��C,�c� �{,�ar���x � p�er Phone Number <br /> Fee Simpie Titleholdar Name Owner Phone Number <br /> Fee Simple Titleholder Addrea <br /> JOB ADDRESS �y I-C �. �,�� � D��L� �'��� LOT� � <br /> SUBDNISION PARCEL ID�I! <br /> (OBTAINED F�PROPERTYT�nce)DEMOLISH <br /> MIORK PROPOSED e NEW CONSTR ADD/ALT � SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK / G(�I C''r� S' r ry�- �/. <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> BUILDING S � � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY <br /> Q W.R.E.C. <br /> QPLUMBING a <br /> QMECHANICAL � VALUATION OF MECHANICAL INSTALLATION <br /> [�GAS Q ROOFING �] SPECIALTY [� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES NO <br /> BUILDER COMPANY Cr / Q4 /°i� <br /> SIGNATURE .�,,.w�, 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 CURRE� Y/N <br /> Addreas 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 Building Plans;(1)set oi Energy Forms;R-0-W Permit for new construction, <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalted, <br /> Sanitary Fadlitles 3 1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buflding Plans plus a LNe Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new constructfon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence i�stalled, <br /> Sanitary Fadlides 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attsch(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY requlred for all NEW consfrucdon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over t2S00,a Notice of Commencement Is roqui►ed. (AIC upgradea over 57500) <br /> " Agent(for the wntractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (Front of AppUcatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIot/Survey/Footage) <br /> Drivewaya-Not over Counter if on public roadways..needs ROW <br />