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813-780-0020 /,� �j G City of Zephyrhilis Permit Application �Qp��, p�;�a�-813�p�i <br /> ._t-� <br /> Building Department ) <br /> Date Received ' � � � � �� �r� J�� ` �u � � <br /> Phone Contact for Permittin I <br /> Owner's Name � � � I�- Q 1G�T � f�( Owner Phone Number �1 3 �,3'�e�{ � Z <br /> Owner's Address � � �,Q �S 1" ��' �1 � � ((IS �� ,j S�/�Wner Phone Number r <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� Z-� (�o �►'1 S�- � �{�'�I'�t,� Y h 1��`S � ( j�J�I �, ] LOT# � <br /> SUBDIVISION , PARCEL ID# <br /> �� (OBTAINED FR�OM pROPERTY T�TicEl DEMOLISH <br /> WORK PROPOSED B NEW CONSTR ADD/ALT SIGN <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER � <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ' <br /> ��'e.h 5�F1 �C. P �-v( Cc,.SI �' ec, <br /> "�°�_.. <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> B ILDING <br /> $ �� U D VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY O W.R.E.C. <br /> �PLUMBING $ ��� � %_ /� �� <br /> ��- <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��iY1�/� ���"`-'�G' <br /> [�GAS Q ROOFING Q SPECIALTY C� OTHER ��� ��m/���-0� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � � �SU� <br /> � BUILDER � COMPANY �'n"e � <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address ' License# C � <br /> ELECTRICIAN � COMPANY b W'n�. � � <br /> �'SIGNATURE _ <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <br /> � PLUMBER COMPANY � W�� <br /> SIGNATURE T 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# C <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# C <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 after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 all new projects.All commercial requirements rnust meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '"'*PROPERTY SURVEY required for ali NEW construction. <br /> Directions: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over;7500) <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 if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />