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813-780-0020 City of Zephyrhilis Permit Appiication Fax-813-780-0021 <br /> Building Department <br /> Date Receivld �� a � � Phone Contact for Permittin I 't— -- ,S� <br /> Owner's Name 7.�LP� Owner Phone Number �"�3�7�-a�7�`� <br /> Owner's Address 1n12s ��"J J Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �. �J� LOT# � <br /> SUBDIVISION PARCEL ID# O - -aI ��U � ��Zd�O �U p O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADDlALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK M <br /> BUILDING SIZE SQ FOOTAGE ( o HEIGHT <br /> BUILDING � �/���� VALUATION OF TOTAL CONSTRUCTION <br /> T <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING a �( 36�� <br /> QMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> �GAS � ROOFING Q SPECIALTY Q 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 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 /> OTNER - ` � ` COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� N <br /> Address 3 , /� _� _ License# �C —CJ, -7 Z <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;RA-W Permit fo�new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucGon Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Fadlitles&1 dumpster;Site Work Permit for subdivisionsAarge 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 commerciai 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 ConUactor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requlred. (AIC upgradas 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 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 />