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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> /� 3d ��� phone Contact for Permlttln 2 Z Z.�{ _ Z 3� � <br /> Owner's Name �V A-r�.1 S Owner Phone Number �j �--7�3--,�'/� <br /> Owner's Address �'j�3 ''�U 3"'�3Z� Owner Phone Number <br /> Fee Simple Titlehoider Name W (�' Owner Phone Number <br /> Fee Simple Titleholder Address � /"r <br /> JOB ADDRESS Z �Z � LOT# �� <br /> SUBDIVISION S�L(�q�' [�,cS , PARCELID# d 3 `� Z� —U/2.�j -����l�j'Q' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT C� SIGN [� [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM C� OTHER - <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL [� <br /> DESCRIPTION OF WORK V�� °F� �- Z�ayy� �� S . 3 �',� �3� �j�W�� � <br /> BUILDING SIZE � SQ FOOTAGE�] HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> [�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> S� <br /> QPLUMBING $ �� <br /> �MECHANICAL �( � <br /> $ `�� --7�� VALUATION OF MECHANICAL INSTALLATION � <br /> / L <br /> [�GAS Q ROOFING Q SPECIALTY [� OTHER +l � � <br /> FINISHED FLOOR ELEVATIONS � <br /> FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address , <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY / -S� r� <br /> SIGNATURE t REGISTERED Y- N FEE CURRE� nJ <br /> Address <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address <br /> License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life 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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""*"PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> if over:2500,a Notice of Commencement is requfred. (A/C upgrades over E7500j <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 PERMITTING (Front of Appiication Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />