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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received . 2 2�� �j Phone Contact for Permittin ��J � 77' --��{ � <br /> Owner's Name � 2�1 l ��5 �� L Owner Phone Number �,3"70 �' Z�7 5 <br /> r/ ,/� z25� <br /> Owner's Address ll�� SOL r�+� U� �f�'� �c�.'v'1i-�L L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS c�� 3� lr!'C-E��'� �J2— LOT# �� <br /> SUBDIVISION �4�OI�LESS ��Ffn�/�'TS : PARCELID# <br /> T— <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��N4 T/1'UI b ('F"� (�� .'✓C-f/ �7 �C��''n�J <br /> BUILDING SIZE � � 3Q FOOTAGE C� HEIGHT <br /> QBUILDING • VALUATION OF TOTAL CONSTRUCTION <br /> �� � 3 7� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C'`� <br /> r-���� �,�ti7a�%< <br /> OPLUMBING $ � "� " - <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 2 7�7� �v <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER ,���" � �3gy� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES 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 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 L/S � /"�,v✓L�fi -� <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address �L�G! /� yG��'�—`�i�/�� ,3(�t � License# �G�l(v! 7 v <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W PeRnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitarv Facilities&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 construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over Sz500,a Notice of Commencement is required. (A/C upgrades over ST500) <br /> `" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized tetter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (Front of Application Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />