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e�s-�aa-oo2c� City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Rec�i4ed <br /> Phone Contact for Permittin <br /> Owner's Name �C N fl'��T G/� Owner Phone Number � <br /> Owner's Address a �f LI�L f� D � S � pvmer Phone Number � <br /> � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS p ��7 S%LL��� L)�'J�S .��L �� <br /> LOT# <br /> SUBDIVISION PARCEL ID# � � `a�i ' �l — O I D �'0 0�4 O —(�,Z� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN O I� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM �� OTHER �— <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEI Q <br /> DESCRIPTION OF WORK L��fli'�- ?� ���u0i j,t/[`7j� 3� �� � `,(,I�,r/f��y�j�L ��;�LL.�, <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT � <br /> �ItDING <br /> $ �y(j '� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE O PROGRESS ENERGY Q W.R.E.0 <br /> �PLUMBING $ <br /> -� 1��6� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> L]GAS Q� ROOFING Q SPECIALTY �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <br /> PLUMBER COMPANY <br /> SIGNATURE 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 /> , <br /> OTHER ' �;,� COMPANY �i�U��''' �QO-=/fi�� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � �ax ,��� �C ,�,s,f License# ���� ���� <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 subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Perrnit 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 all new projects.All commerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY required for all NEW construction. <br /> „���������„r,,,��„���....� <br /> •1� 1lIIJ <br /> Directions. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is requfred. (A/C upgrades over a7500) <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 Qnly) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />