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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department � / <br /> c�u�-� ' �lL' �s� s',� / 4�9��- <br /> Date Received /L/ <br /> �� / 7 � � Phone Contact for Permitting /3 ,3� — �01 O <br /> Owner's Name � Owner Phone Number g�� ' C}�'j • Q <br /> Owner's Address � � �L Owner Phone Number� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ���-�-t LOT# �� <br /> SUBDIVISION � PARCEL ID# � I v? 1 a O C� U� `��U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL � OTHER <br /> DESCRIPTION OF WORK (��i( C � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> Q BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> Q ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> F'� <br /> Q PLUMBING $ ��� <br /> MECHANICAL / � <br /> � $ VALUATION OF MECHANICAL INSTAL TION <br /> �/-.�00� - v� <br /> 0 GAS 0 ROOFING � SPECIALTY Q OTHER ` � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � � <br /> _ �� � ' <br /> MECHANICAL / COMPANY / <br /> SIGNATURE � REGISTERED N FEE CURRENT Y/N <br /> Address �a !�t/ 3 Q /J j�� 33S^�S� License# � <br /> OTHER -"� COMPANY <br /> SIGNATURE _ REGISTERED N FEE CURRENT Y/N <br /> Address License# �— � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(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 subdivisions/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 8 1 dumpster.Site Work Permit for ail 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 required. (A/C upgrades over$5000) <br /> *' Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service tlpg�ades A/G Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs�ROW <br />