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�,s-r�u-uuzv City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin sa _�b <br /> Owner's Name l� C��1 � e Q Owner Phone Number <br /> ` �V��� � <br /> Owner's Address r�1 'Z Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number —� <br /> Fee Simple Titieholder Addreas <br /> JOB ADDRESS �I,.7 S S �t �" �- � ��� �L �S�j LOT� �� <br /> SUBDNISION PARCEL ID� �0� Z�i—Z� —��� ^Q�Qa� - 1 a� <br /> (OBTAINED FR�OM PROPERTY T�nce>DEMOLISH <br /> MMORK PROPOSED B NEW CONSTR 8 AbD/ALT [� SIGN <br /> INSTALL REPAIR <br /> IPROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK e-'�UO {�� '('�n„lo�/li� {"�'� <br /> BUILDING SIZE —� gq FOOTA(3E� HEIGHT <br /> QBUILDING $ <br /> ' U U VALUATION OF TOTAL CONSTRUCTION <br /> . <br /> QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING s <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION �� r`ft� �� <br /> ( � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Lfcense# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas License# <br /> OTHER � COMPANY �e d t� � I�c�I�c.w�ur�-�� .�,C <br /> SIGNATURE - rteGis�Re� Y/ N FEE CURRE� Y <br /> Address License# ������� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W PeRnit for new construction, <br /> Minfmum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> SanRary Fadlitles 8 1 dumpster;Site Work Permit tor subdivisfonsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buflding 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,Constructlon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary FaciNdes d�1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)seb of Engineered Plans. <br /> "•••PROPERTY SURVEY required for all NEW consUucdon. <br /> Directlons: <br /> Fill out applicatlon completely. <br /> Owner 8 Contractor sign badc of applicatlon,notarized <br /> If over S2S00,a Notice oi Commencement is required. (AIC upgradea over t7500) <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 PERMCrTING (Front of ApplicaUon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drivewaya-Not over Counter if on public roadways..needs ROW <br />