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s�s-�eo-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Oate Received � 3 ��3 <br /> Phone Contact for Permittin <br /> Owner's Name Y \�Q j �i ^ t� � Owner Phone Number ��, a� — <br /> Owner's Address �r��5� L�'}'� <br /> Owner Phone Number <br /> Fee Simple Titleholder Name _ � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 � �� LOT# � <br /> SUBDIVISION PARCEL ID# ` " o�'�I—���— (� _ ;� <br /> (OBTAINED FR�OM PROPERTY T�ricE)DEMOLISH <br /> 1AIORK PROPOSED NEW CoN57R ADDlALT � SIGN <br /> INSTALL e REPAIR <br /> PROP05ED USE SFR � Q COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK I i ?� !Q j Q�; <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> ILDING $ ��D G?a VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> OPLUMBING ($—� <br /> �- � (3$� 4� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER '� � COMPANY <br /> SIGNATURE REGISTERED Y/ FEE CURRE� Y/N <br /> Address License# � <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 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> RESIDENTIAL Attach(2)Piot Plans;{2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)worki�g 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&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 required for all NEW construction. <br /> r�i�e�������������������r��... <br /> ���L� 1 <br /> Directions. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over;2500,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 THE COUNTER PERMITTING (Front of Application Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />