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8�a-�ao-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department � <br /> r ��11 r/ <br /> Date Received '�eC �(o � o ('Z I� �� � M ��� �,� <br /> Phone Contact for Permittin <br /> Owner's Name /'!�i Y (�� ✓ Owner Phone Number <br /> Owner's Address /�,� � �Z `'rt 'k' p�' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Tftleholder Address � <br /> JOB ADDRESS ��� ' I` Q �e �, (-K. � r LOT� � <br /> SUBDIVISION 1"►1 h.q V� ��q PARCEL ID# �S- ZS- Z 1 -U US U � Dv�GC� - (�� j0 <br /> (OBTAINED F�PROPERTY T�ricE►DEMOLISH <br /> WORK PROPOSED NEw CONSTR ADD/ALT C� SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE O SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q r <br /> DESCRIPTION OF WORK ��U�� � �s S�' i..J GL 3U �V �� � ( �,,L ��,V �� �,e <br /> BUILDING SIZE SQ FOOTAGE (��b HEIGHT <br /> QBUILDING $ <br /> y��D���`� VALUATION OF TOTAL CONSTRUCTION <br /> OELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W,R.E.C. <br /> QPLUMBING $ � ��� <br /> � 1 <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES IVO <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# C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �- <br /> OTHER � COMPANY s�(► �(fC ��'���-, v f t � '�,,,t <br /> SIGNATURE ������' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��J� �� �� �t,� -�� � J ( � 1{v <br /> License# CCC OS 7�s 7� <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 aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdiv(s(ons/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&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 /> Directfons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over s2500,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 nota�ized letter from owner authonzing same <br /> OVER THE COUNTER PERMI7TING (Front of Application Only) <br /> Reroofs if shingles Sewers Se►vice Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />