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a�3-�so-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received <br /> Phone Contact for Permittin _ <br /> Owner's Name e� ��i .��� r Owner Phone Number ��.?�"'Q/.�� <br /> Owner's Address Gl �� /�J r .^G p Owner Phone Number � <br /> Fee Simple Titleholder Name � � Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS C ( � /�l( � � , �, LOT p C� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q �� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER ^ s� <2_ <br /> TYPE OF CONSTRUCTION Q BIOCK Q FRAME � STEEL Q (— <br /> DESCRIPTION OF WORK I�ZC � C y�' G � �I C�G� �/. � �� l�'N�t -��S'f�l,�lEqrr I�rr,t��� <br /> BUILDING SI2E SQ FOOTAGE�� HEIGHT � ] <br /> QBUILDING $ �%� 5 �� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY <br /> Q W.R.E.C. <br /> QPLUMBING $ <br /> OMECHANICAL �� VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ,�� COMPANY C�a, I Y� � Gr ��o.-v G(�° <br /> SIGNATURE REGISTERED Y/ N FEE C RE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# C <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# � —� <br /> MECHANICAL C�MPANY <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 /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets 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 Facilities&1 dumpster;Site Wo�ic 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&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 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►equired. (A/C upgrades over;7500) <br /> "` Agent(for the contractor)or Power of Attomey(for the awner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatinn Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />