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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building DepaAment <br /> Date Received Phone Contact for Permittin �J �b�–�%oZ U <br /> Owner's Name � <br /> �.�11ti��. Q.��r' a"'Y� Owner Phone Number 2?� –�(D,�� <br /> Owner's Address .�v ,Jt7� Owner Phone Number �--� <br /> Fee Simple Titleholder Name �'(�/� —� Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S�.�U � � LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAl(NOTICE) <br /> WORK PROPOSED B NEw CoN57q e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> �NSTALL REPAIR <br /> PROPOSEO USE Q SFR Q COMM � OTHER �– <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL 0 <br /> DESCRIPTION OF WORK 3� �7 – �U <br /> BUILDING SIZE r--� SQ FOOTAGE� HEIGHT �� <br /> QBUILDING $ �/�e VALUATION OF TOTAL CONSTRUCTION <br /> .7 <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> OPLUMBING $ ����s <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER � /�,� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO � / <br /> BUILDER COMPANY � ` ,�C <br /> SIGNATURE REGISTERED Y/ N CURRE� Y/N <br /> Address � / .. License# C C C p/,3 <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# I —� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# —� <br /> OTHER COMPANY —� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I�dfQ33 <br /> License k <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . � � 1 � � <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,Construction Plans,Stormwater 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 Safery Page;(1)set of Energy Forms.R-O-W Permi[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&1 dumpster Site Work Permit for ail 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 /> 1 1 1 1 1 1 1 I � 1 1 1 1 1 t 1 1 1 � 1 1 1 1 1 1 1 1 1 1 1 1 1 � 1 1 1 1 1 1 1 1 1 1 1 1 1 1 � 1 1 1 1 <br /> DireMions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,nolarized <br /> If over 52500,a Notice ot Commencement Is requlred. (A!C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone v�nth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs it shingles Sewers Service Upgrades A1C Fences(PIoUSurveylFOOtage) <br /> Driveways-NOt over Counter if on public roadways..needs ROW <br />