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s�3-�ao-oo2a City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> - Building Department � I �� <br /> Date Received ._� — � � <br /> Phone Contact for Permittin .✓/S 3� _ g� s-o <br /> Owner's Name L c_� � ,S L ����,, C��� Owner Phone Number <br /> Owner's Address 3�'S �� (,�,;�,����,c c�,;��� �.1 �� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titieholder Address <br /> JOB ADDRESS i�Sv� (,.�-' -d y- L ���c_ /� ���` LOT# �y <br /> SUBDIVISION PARCEL ID# 6��"�1 'dL{e0.-� �y� > d�-� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1MORK PROPOSED B NEW CONSTR 8 ADD/ALT �� SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK � C N S f <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �UILDING $ f J� p� VALUATION OF TOTAL CONSTRUCTION <br /> •���- <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY I�I W.R.E.0 <br /> OPLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY C� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> f Q4 <br /> BUILDER - (� , � (,�C� COMPANY e �tju//(f e <br /> SIGNATURE '' = C. .�- �� REGISTERED Y/ N 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)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Mlnimum ten(10)working days after submittal date. Required onsite,Constn�ction 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 ail new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""`PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,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 notari2ed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Oniy) <br /> Reroofs ii shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> �r• <br />