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9�3-�8Q-ap2Q City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin <br /> . � , <br /> Owner s Name •;..�;��- Owner Phone Number r <br /> Owner'sAddress � /ii .�% 2 �,�C � -,��.,r.�- <br /> y"�'�`°.�:'', ��'~� Owner Phone Number � '�'�� <br /> �% 3 y r �..�'.:'s` r�; �° <br /> Fee Simple Titleholder Name Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOBADDRESS r3 � �"� .��",,-t;< r, :�'. - c . �0/�T,�'r <br /> '� '" LOT# <br /> SUBDNISION PARCEL ID# //- »Gt;- _ ��;;,, _ ,�„�,.�: <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 [� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ` ,J f f /: � , , <br /> A� t:� 1'��A; "-1� d'i�t..d +'r�.�- "'�` ,3'C.r�d r� .S- ,'i�:r".'�.'. <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT ] <br /> Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 3�8s', �a <br /> QELECTRICAL $ AMP SERVICE O PROGRESS ENERGY <br /> Q W.R.E.C. <br /> QPLUMBING $ <br /> ,����y � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION , . <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> c.��Z��C�,`��7 i <br /> BUILDER COMPANY <br /> SIGNATURE `� L `, � � _ 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 REGtSTERED Y/ N FEE CURRE� Y/N <br /> Address License# —� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas 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,ConsUuction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Lffe Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new constnicUon. <br /> Minimum ten(10)working days afler submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadliBes 8 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 requ(red for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over s2500,a Notice of Commencement is requlred. (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 />