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�"�'a�"`x"° City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Buflding Department <br /> Date Received 1O 2(Q � Z phone Contact for Permittin <br /> 1� Z _ � z <br /> Owner's Name � i Owner Phone Number <br /> Owner's Addresa <br /> Owner Phone Number <br /> Fee Slmpie Titleholder Name � <br /> Ovmer Phone Number <br /> Fee Simple Titlehoider Addreas <br /> JOB ADDRE33 ��� � � <br /> � LOT I� <br /> SUBDNISION PARCEL IDA� �Jf"ZS"� -(�C��CJ^'Q ]�'p� �U a �G <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> MVORK PROP03ED e NEW CONSTR 8 ADD/AlT � SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEO USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK I <br /> BUILDING SIZE 3Q FOOTAGE U HEI(iHT <br /> OBUILDING a <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL s AMP SERVICE � <br /> ��"?j- i.-v Z �PROGRESS�NERGY [� W.R.E.C. <br /> QPLUMBING a l,•fJ � � <br /> ����� <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTA LATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER .__. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# -1 <br /> ELECTRiCIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � l� License# �� ��� 5 <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 Ucense# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addross Ltcense# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)woricing days aRer submfttal date. Requlred onsite,Construction Plans,Stormwater Pians w/Silt Fence instalied, <br /> Sanitary Fadlides&1 dumpster,Site Work Pertnit for subdivislonsAarge proJects <br /> COMMERCIAL Attach(3)complete sets of Bufldl�g Plans plus a Life Safety Page;(1)set of Ene►gy Forms.R-O-W Permit for new conshuction. <br /> Minimum ten(10)working days aiter submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence i�stalled, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commerciat requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY requlred for all NEW consUuctlon. <br /> Dircctlons: <br /> Fill out applicatlon compietely. <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over 52500,a Notice of Commencement Is roquired. (AIC upgrades over=7500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)wouid be someone with notarized letter irom owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers Servtce Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drivewaya-Not over Counter if on public roadways..needs ROW <br />