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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> �� � � � Phon Contact for Permittin _ <br /> Owner's Name Owner Phone Number <br /> Owner's Address ..J er Phone Number <br /> Fee Simple Titleholder Na ner Phone Number �— <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS LOT# �� <br /> SUBDIVISION �— PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BL K Q FRAME � STEEL Q <br /> .•� i, <br /> DESCRIPTION OF WORK � ' , � <br /> BUILDING SIZE SQ FOOT E H HT <br /> � ,UILDING $ ' �� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ ,AMP SE�tVICE � PROGRESS ENERGY 4��.,�W:R.E.C. <br /> �7� fi����' <br /> QPLUMBING $ � j�I� C� <br /> �'�.` ��� _ . <br /> QMECHANICAL $ VALUATIONOF MECHA�ICAL`�ION , � ,1� ✓��_ <br /> / `l <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � � `` �' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES �~� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I <br /> Address Licens <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 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 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 Facflities 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 Permit for new construcUon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalted, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for ali 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over E2500,a Not(ce of Commencement is►equired. (A/C upgrades over ST500) <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 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 />