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ais-�ao-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Bwlding Department <br /> Date Received �/� _�� �� e�S <br /> T117" <br /> Phone Contact for Pertnittin p/ <br /> Owners Name Owner Phone Number <br /> Ownels Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � I / �� O� � LOT# ��� <br /> SUBDIVISION G! ///� ��J]S pqRCEL ID# �/ �Z� Z � d f � ��yQ �' ()�D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADDIALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> NPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK Q-�7 � Dl[_'f' C £► �/' d.� .{��-, <br /> BUILDING SIZE �d�'� S�FOOTAGE � �� HEIGHT � <br /> QBUILDiNG $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> �PLUMBING $ I^'�' 'fnn��' <br /> � �''V�tr <br /> �MECHANICAL $�nDa •�0 VALUATION OF MECHANICAL INSTALLATION � L�a�` `�� <br /> / <br /> QGAS Q ROOFING Q SPECIALTY � OTHER ,t'���(_ r y� <br /> `.r �Q� p <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> 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 NN � '� a.��� h / TJ /� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address C /7/ <br /> � 'rr�Q Q) `'L' [ License# 0 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bwlding Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permrt for subdiv�sionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a L�fe Safety Page;(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&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 reqwred for all NEW construction. <br /> Direttions: <br /> Fill out application completely <br /> Owner&ConVactor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone Nnth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application ONy) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways.needs ROW <br />