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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> � /'�� /� Building Department <br /> 1 1 <br /> Date Received ��� -_ _ <br /> Phone Contact for Permittin <br /> Owner's Name v' Owner Phone Number ' � �j ��S' <br /> ., . <br /> Owner's Address L` � � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS - � ? � - ): �' �� <br /> � � ' � LOT# <br /> SUBDIVISION '° '�` � � '� � � �s PARCEL ID* � <br /> (OBTNNED F�PRORERTY T�nce)DEMOLISH <br /> WORK PROPOSED 'NEW CONSTR ADD/ALT Q SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE [� SFR Q A COMM � OTFIER , <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � � p't`�'�'y' ;� -� x •,r` _ , .� � �' ; � r 'F (r �_ � /� l� <br /> BUILDING SIZE � �,� � :r� r � SQ FOOTAGE� HEIGHT 1 � �e�� <br /> BUILDING a VALUATION OF TOTAL CONSTRUCTION <br /> c.� D 'I��• . <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING a �!, �� � <br /> OMECHANICAL $ VALUATION OF MECNANICAL INSTALLATION � 2- �� ��� <br /> � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER j��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO i�i C <br /> ,,�r <br /> BUILDER �� ��COMPANY j� � �S 7-� >�� <br /> SIGNATURE ,✓ ' '� '�/��`� \� �'�` - ��.� r's � ,7 <br /> 7 b REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> S G ATURE N 5� � � ��\ R�MP RN p � y N�h F E CURRE� Y/N <br /> Address License# <br /> PLUMBER , ,�,.y�" 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 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 Ptans;(1)set of Energy Forms;R-O-W Pertnit fo�new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence i�stailed, <br /> Sanitary Facllities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Ufe 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 Wor1c 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 consVuction. <br /> Directions: <br /> Fili out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A!C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER TNE COUNTER PERMITTING.. (Front of AppflcatlOn Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW ; <br />