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�,.s-�nu-uuzu C:ity of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Building Department <br /> Dat�Received <br /> hone Cont c or e ttin __ <br /> ✓.f s � <br /> Owner's Name �u ` Owner Phone Number <br /> c �Owner's Address Owne�Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simpie Titleholder Addresa <br /> JOB ADDRESS � LOT# �� <br /> SUBDIVISION � PARCEL ID# <br /> �OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1NORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION K F � TEEL <br /> DESCRIPTION OF WORK �' U G '' ` r - � <br /> BUILDING SIZE SQ FOOTA(3E�� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a , AMP SERVICE ZDD Q PROGRESS ENERGY W.R.E.0 <br /> Q PLUMBING $ � ' ��2� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <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 Ucense <br /> ELECTRICIAN t/ COMPANY � � v� L ` <br /> SIGNATURE � � � REGISTEREO Y J N FEE CURRE� Y/N ' <br /> Address � ` License# <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 License# �— —� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Add�ess License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fom►s;R-O-W Permit for new construction, <br /> Minimum ten(10)woiicing days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary FaclliHes 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buflding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new conshuction. <br /> Minimur►r ten(10)working days aiter submittal date. Required onsite,Construction Plans.Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilitles&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 ali NEW constructlon. <br /> Directions: <br /> Fill out applicatlon compietely. <br /> Owner&Contractor sign back of appHcatlon,notarized <br /> If over 52500,a Notice oi Commencement is required. (AIC 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 Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />