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813-780-0020 City of Zephyrhilis Permit Appiication Faz-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin � __ '7 d <br /> Owner's Name C hri 11 Yi� �O t' JQ � r Owner Phone Number ��3`� - �a, <br /> a�i u 5 3 �n ��s�v � <br /> Owner's Address i'} Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tftleholder Addresa <br /> JOB ADDRESS S 7aa 'F'`J�7 c�� I(o�"�' �'I'• LOT# �� <br /> SUBDIVISION PARCEL IDN I ���-� - Z� —G�IU- (�IU-- U f"7C� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT �� SIGN Q Q DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> DESCRIPTiON OF WORK /"t/ C C�7lY� -Q, �}u'}" - ��; ANi> -Z } Ce tiv j�f:.nr�2('` <br /> BUILDING SIZE � SQ FOOTAGE�� HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING a � / ZCf�� <br /> J� <br /> �,MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ���- <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILOER 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 A �C JE.(t1i i C . U� P SCts .��UC- <br /> SIGNATURE � REGISTERED / N FEE CURRE� Y/N <br /> Address �� • � v - ��1 � 353� License# �-�L. I� t cj L-(Q� � <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 /> Mfnimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGlides 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 8 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 /> Ovmer 8 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 notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (Front of Application Only) <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 />