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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin <br /> Owner's Name � �' r l L°S Owner Phone Number , �h � �.� <br /> Owners Address � /�^T���� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ,S�5 S Z� �/�°' � � ,/� � <br /> S �Z �OT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT �� SIGN � O DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL Q <br /> DESCRIPTION OF WORK -.� �.S�' j� { ��,,L L�-,a f� �,�� ��,� l�`/ <br /> � b <br /> BUILDING SIZE SQ FOOTAGE U HEIGHT <br /> �BUILDING <br /> $�S� ,�u �"'VALUATION OF TOTAL CONSTRUCTI C�S�- � M�{��_ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � <br /> W.R.E.C. <br /> QPLUMBING (g <br /> � � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '�� " <br /> � � <br /> QGAS Q ROOFING Q SPECIALN <br /> 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [�YES NO <br /> BUILDER COMPANY /YC�J�i'�, �%�iU/U�'� <br /> SIGNATURE ! �-�� REGISTERED Y/ N FEE CURRE� <br /> Y/N <br /> Address License# r- � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N <br /> FEE CURRE� Y/N <br /> Address <br /> License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pennit 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 subdivisionsllarge 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 consUuction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilit(es&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> 31GN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW construction. <br />)irections: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over a2500,a Notice of Commencement(s required. (A/C upgrades over s7500) <br />` Agent(for the contractor)or Power of Attomey(for the owner)wouid be someone with notarized letter from owner authorizing same <br /> 1VER THE COUNTER PERMITTING (Front of Application Only) <br />;eroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />