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e�3-�eo-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received .��a _ <br /> Phone Contact for Permittin <br /> Owner's Name ���S� �.(i�7,��Q � �. �r�ner Phone Number <br /> Owner's Address �vD o �� � .Q Owner Phone Number —� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# C� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FR�OM PROPERTY T�T�cE)DEMOLISH <br /> WORK PROP03ED NEW CONSTR ADD/ALT [�� SIGN <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK � / CJ�. C � 4'i:- 84 <br /> BUILDING SIZE 3Q FOOTAGE HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ERGY [� W.R.E.C. <br /> OPLUMBING $ ,jr <br /> �� <br /> /� �l <br /> OMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATI N l <br /> �� � <br /> QGAS Q ROOFING Q SPECIALTY [� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N <br /> Address License# �— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY �►`�S C� �Pn- r <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# ��Z � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Bufiding 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 Facllities&1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence instalied, <br /> Sanitary Faci�ities 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 construcUon. <br /> Directfons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over i2500,a Notice of Commencement is required. (A/C upgradea over;7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter f�om owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appflcation Only) <br /> Reroofs if shingles Sewers Service Upgrade� A/C Feflces(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on pubtic roadways..nesds ROW <br />