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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recefved j(-Z-p '( Phone Contact for Permittin 0�J �� _sc3� <br /> Owner's Name J �e ��J �-/�C eC/�✓ Owner Phone Number �/�—�3d— ��� <br /> Owner's Address � 7e2(J �/��/1 �- � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS 3�a-U �'U/L /I CC%� LOT# C� <br /> SUBDIVISION �� �cl�'�c ��1 PARCEL ID�t �r � ��-4U��- Od/OU G89 <br /> (OBTAINED F�pROPERTY TQ TicE)DEMOLISH <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT �� SIGN <br /> INSTALL REPAIR <br /> PROP03ED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK � -� C � O/'��' <br /> / <br /> BUILDING SIZE Cfi.t_ r-f SQ FOOTAGE �OZO HEIGHT <br /> �BUILDING $ �O� 0� pd VALUATION OF TOTAL CONSTRUCTION <br /> _� <br /> QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ����� ������ <br /> (81�788-5314 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO�}���,4,,,7� <br /> GAS ���� � <br /> Q Q ROOFING Q SPECIALTY Q OTHER �� �- � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �J/���„ ,/, .� �� COMPANY �U/1 V � . �C . <br /> SIGNATURE � ��� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address cF/� 7 �D�7L �-E �-�c- �f � • 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 CURREA Y/N <br /> Address Ltcense# <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 /> Addreas license# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)seb of Building 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 FadllNes&1 dumpster;Site Work Permit for subdfvtsions/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 8 1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Pla�s. <br /> """PROPERTY SURVEY requlred for all NEW constructlon. <br /> Directlons: <br /> Fill out applicaUon completely. <br /> Ovmer 8 Contractor sign back of appliqUon,notarized <br /> If over 52500,a Notice of Commencement Is required. (A!C upgrades over:7500) <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 Onty) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drivewaya-Not over Counter if on public roadways..needs ROW <br />