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ais-�eo-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> , Bwiding Department <br /> Date Received Phone Contact for Permitting - <br /> Owners Name 1.� Owner Phone Number z--���� '1� <br /> Owners Address (�'ZS � ' Z i ( Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number�—� <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS ��ZS i 1 L" ST12EE� . ZE i'HY�i�5,� F� LOT# � <br /> SUBDIVISION 1 I W N PARCEL ID# O Z�°ZI�00�^��^OZq,� <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WJRK PROPOSED � NEW CONSTR B ADDlALT � SIGN � MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OFCONSTRUCTION � BLOCK � FRAME � STEEL � OTHER <br /> DESCRIPTION OF WORK I��—�� S I�V�G �,�I�LY 1�GS I��j <br /> BUILDING SIZE �—� SQ FOOTAGE .HEIGHT <br /> �w - <br /> � BUILDING $� �^ � —� �/ALUATION OF TOTAL CONSTRUCTION <br /> � <br /> O ELEC,TRICAL S I AMP SERVICE A � PROGRESS ENERGY � W R E C <br /> � PLUMBING � � / ��(J�� <br /> � <br /> � MECHANICAL � � VALUATION OF MECHANICAL INSTALLATION <br /> � GAS �� ROOFING � SPECIALTY � OTHER <br /> FiNISHED FLOO FLOOD ZONE AREA �YES �NO <br /> r��:.�..��` �:��1;�#� ,�,, <br /> BUILDER COMPANY � ��K�� C��STI�U��O� <br /> SIGNATUR REGISTERED Y/ N FEE CURRENT Y 1 N <br /> Address r 0• ��� �/�'«+G' (—� F L License# l.�`LV T Z[y10�0 <br /> ELECTRICIAN COMPANY �— <br /> oI��NATURE REGISTERED Y/ N FEE CURRENT Y i N <br /> Address � L�cense t! � —� <br /> PLUMBER COMPANY <br /> SIGNATURE REGSTERED Y/ N FEE CURRENT Y I N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTcR=O Y/ N FEF cuRRENr Y i N <br /> �— <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTEP,ED Y/ N FEE CUFREN7 Y/N <br /> Address License# �—� <br /> _ �mnm��swr�cz_ �wz�—�m <br /> T,�....,.�� <br /> RESIDENTIAL Attach(2)Plot P�ans:(2)sets of B�viding Plans,(1)set of Energy Forms.R-O-W Permd for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite.Construction Plans,Stormwater Plans w/Silt Ferce installed. <br /> Sanitary Faahties&1 dumos,er Site'NOrk Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Bwlding Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnd for new constructwn. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construct�on Plans,Stormwater Plans w/Silt Fence installed, <br /> Sandary Facih}�es&1 dumpster Sde Work Pertnit for all new pro�ects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineeretl Plans <br /> ""'PROPERTY SURVEY reqwred 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 required. (A/C upgrades over$5000) <br /> " Agent(for Ihe contractor)or Power of Attomey(for the owner)would be someone with notanzed letter from owner authonzing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />