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813-780-0020 City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �� 2 � ` �3 <br /> Phone Contact for Permittln <br /> Owner's Name � �GAa�' /� r �Z- ��" Z`�-� � <br /> Owner Phone Number <br /> Owner's Address ���� � � ZP / ,/ Owner Phone Number <br /> Fee Simple Titleholder Name ry�/'f" Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS 5/ D L✓v0 -S7, � � / ,/S /� 43,,�,j 2 LOT# � <br /> SUBDIVISION �vi'� � ^ , PARCEL ID# J�`2 " ZJ''��6� --�fgf7C7—�� a <br /> (OBTAINED F�pROPERTY T�nce)DEMOLISH <br /> WORK PROPOSED e NEW CONSTR 8 ADDlALT [� SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION [� BLOCK Q FRAME C] STEEL Q <br /> DESCRIPTION OF WORK /iE' p� � ; � � � �,,,; �� �^ /�-f- C <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> OBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERV�CE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBtNG $ <br /> QMECHANICAL $ r °i' VALUATION OF MECHANICAL INSTALLATION � � �� <br /> 3 �2p �� <br /> OGAS Q ROOFING [1� SPECIALTY �� OTHER �� q <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � �' � l �� <br /> BUILDER � COMPANY �q/f i �f�'. <br /> SIGNATURE REGISTEFtED Y/ N FEE C n Y/N <br /> Address ' License# �.C�y��yZ <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 <br /> Llcense# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> RESIDENTIAL Attach(2)Plot Pla�s;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pe�mit for new construction, <br /> Minimum ten(10)woricing days after submittal date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Woric Permit for subdivisions/la�ge projects <br /> COMMERCIAL Attach(3)compiete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcdon. <br /> Minimum ten(10)working days after submlttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliBes 8 1 dumpster.Site Work Pennit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY requlred for all NEW construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,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 notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A1C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counte�if on putilic roadways..needs ROW <br />