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ai3.-7ao-oozo City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �/ ���'� phone Contact for Permittin _ <br /> Owner's Name ` /1 i � Owner Phone Number ���' 70 0� �7Z � <br /> Owner's Address � � � � . � �i .� Owner Phone Number � <br /> Fee Simple Titleholder Name '"/� Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � � ' ,r LOT# � <br /> SUBDIVISION , PARCEL ID# �Z � Z �OD�� � �y7OD— D�s� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q C] DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK I�loo U.�� �wf�� (��'//�� S�C•t� � ,3..� � � � <br /> BUILDING SIZE SQ FOOTAGE ��70J HEIGHT <br /> QBUILDING $ / �pr �% VALUATION OF TOTAL CONS'fRUCTION <br /> ��� p O <br /> QELECTRICAL $ AMP SERVICE �� PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> f <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r , � 'r lf/ �� <br /> � � <br /> OGAS 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# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# �— � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# �— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# <br /> OTHER ` COMPANY Q/I� � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � O,�'IGr / q�-�/� License# �����y�9�Z� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Perrnit 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 Buliding Pians 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 o�site,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities& 1 dumpster.Site Work Permit for all new projects.Ail commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '*'"PROPERTY SURVEY required for all NEW construction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8�Contractor sign back of application,�otarized <br /> If over$2500,a Notice of Commencement is required. (A1C 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 PERMITTING {Front of Application Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..nesds ROW <br />