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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receiv�d <br /> Phone Contact for Permittin a a S <br /> Owner's Name 1 Owner Phone Number �J�o�'- <br /> Owner's Address � I � � (/�, Ovvner Phone Number '� � �— <br /> a � a���-1 <br /> Fee Simpte Titleholder Name <br /> Ow�er Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� <br /> LOT# <br /> SUBDIVI310N PARCEL ID# <br /> (OBTAINED FR�OM PROPERTY T�ricE)DEMOLISH <br /> WORK PROPOSED B NEw CONSTR ADD/ALT � SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE [� SFR [� COMM [� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL � <br /> DESCRIPTION OF WORK CJI.0 r IG��/ � ��f� �-' � � D"I" � l � <br /> BUILDING SIZE pLft'" I �[7�`I" SQ FOOTAGE� HEIGHT �T�- <br /> OBUILDING $ � � � �.� <br /> VALUATION OF TOTAL CONSTRUCT�ON <br /> QELECTRICAL $ AMP SERVICE O PROGRESS ENERGY <br /> �] W.R.E.0 <br /> QPIUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ����� <br /> �� <br /> OGAS Q ROOFING Q SPECIALTY � OTHER ` ��� <br /> FINISHED FLOOR ELEVATIONS ! � � � <br /> FLOOD ZONE AREA QYES NO <br /> BUILDER `�/��,�/ '�� �� COMPANY �, O�fn�/ <br /> SIGNATURE / •�V f/v" �/� �"'� REGISTERED Y/ N FEE CURRE� <br /> Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> 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 <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 Fonns;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 Fadlities 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 submfttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitfes 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 /> Directfons: <br /> Fill out apptication compietely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,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 letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicadon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />