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813-780-0020 City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Building Department <br />)ate Recei�ed `�,�n( .. / � �% — �,s � <br /> Phone Contact for Permittin <br /> ry. p� � � � � �JI� <br />)wner's Name �� � /U � Owner Phone Number <br />)wner's Address � Owner Phone Number <br />�ee Simple Titleholder Name � � Owner Phone Number <br />'ee Simple Titlehoider Address <br /> tOB ADDRESS ��� �DT� LOT# C� <br /> iUBDIVISION , PARCEL ID# l���IP ' I� �U� U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NORK PROPOSED e NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br />�ROPOSED USE Q SFR Q COMM � OTHER <br /> fYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK C� � � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBtNG $ � � �.�� 5/� <br /> r''.-."' <br /> QMECHANICAL $ �� VALUATION OF MECHANICAL INSTALLATION <br /> �j��� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER .� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �„�� <br /> BUILDER � COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' License# �- <br /> ELECTRICIAN COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# (— <br /> MECHANICAL COMPANY �I�����G�/Y//�� � T S <br /> 51GNATURE �� �I�/��� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address /O .�� l�� 3O� License# /rv � � <br /> DTHER 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 construcbon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Co�structlon Plans,Stormwate�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 construcdon. <br /> Minimum ten(10)worlcing 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 /> 51GN PERMIT Attach(2)sets of Engineered Plans. <br /> *"**PROPERTY SURVEY required for all NEW construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is requi�ed. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer authorizing same <br /> DVER THE COUNTER PERMITTING (Front of Application Only) <br /> �eroofs if shingles Sewers Service Upgrades A1C Fences(PIot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />