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� 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received� a -,�Q�,3 Phone Contact for Permittin ��� 3'SS -3 /Q(O <br /> Owner's Name , h _ �/�` S Owner Phone Number <br /> Ow�er's Address � ���� ��e Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titlehotder Addresa <br /> JOB ADDRESS ����� ��1 �v LOT# � <br /> SUBDIVISION PARCEL ID� <br /> (OBTAINED FROM PROPERTY TAX NOTICE� <br /> WORK PROPOSED e NSTALLS7R e REPAIR � SIGN Q [� DEMOLISH <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �-�9�� l�GC 1`- �,CX.���'u""'� � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ ��G � VALUATION OF TOTAL CONSTRUCTION <br /> �, <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '� ���� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> J��} � <br /> BUILDER `-'� /d�� �l � � COMPANY �:- <br /> SIGNATURE '� �/� � ` REGISTERED Y 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 /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � —1 <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 /> Address License# <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Buiiding Plans;(1)set of Energy Forms;R-O-W Permit for new construcGon, <br /> Minimum ten(10)wo�lcing days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facf�ities&1 dumpster;Site Worlc Permit for subdivisionsAarge 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 constructlon. <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 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 constructlon. <br /> Directlons: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of appiication,notarized <br /> If over 52500,a Nottce of Commencement is required. (AIC upgradea 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 PERMITTING (Front of Application 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 />