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813-780-0020 City of Zephyrhilis Permit A lication <br /> . PP Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> � ' Phone Contact for Permittin <br /> Owner's Name l�. L� � C � v,� � Owner Phone Number ` <br /> Owner's Address ..,3� ! '�j i �,c�/ . � •� � <br /> Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� <br /> LOT# <br /> SUBDIVISION � , PARCEL ID# ����� • J - � Q /G+ r l ����_ �,�! o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR ADD/ALT �� SIGN <br /> INSTALL � REPAIR 0 � DEMOLISH <br /> PROPOSED USE Q SFR Q COMM [ � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK � �„I�l � � � ��'���. <br /> BUILDING SIZE SQ FOOTAGE `� <br /> -�"�~ HEIGHT �o <br /> �BUILDING $ <br /> a b p p `jC VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � <br /> PROGRESS ENERGY _ ,E ' 2,,,.,-� <br /> OPLUMBING $ L <br /> .�/ �� f1�v .�,��,� <br /> QMECHANICAL $ VALUATION OF MECHAN AL I�.Lq <br /> ��,_��� °� <br /> [�GAS Q ROOFING � SPECIALTY <br /> �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> QYES NO <br /> BUILDER � ) � � COMPANY /�.�C �' p/_�/f/�3.�' C � r� �Y <br /> SIGNATURE (,�J <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> Lice�se# � <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> NIECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> Ucense# <br /> OTHER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> Ucense# <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcGon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faditties 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3j complete sets af Building Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl 9ilt Fence instalied, <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 requlred for all NEW construction. <br /> Directions: <br /> Fill out application compietely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over;2500,a Notice of Commencement ls required. (A/C upgrades over s7500) <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 A/.0.,. Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />