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s�s-�so-ooz� City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �� l � ^ _ � <br /> Phone Contact for Permittin � � <br /> � °-1 ¢� �� <br /> Owner's Name � Owner Phone Number 1 � C�L{J <br /> Owner's Address ° 1�� � Owner Phone Number �— <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS O� l � � LOT# C� <br /> SUBDIVISION PARCEL ID# ���ac9 a.,.ola�. � o�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED NEW CONSTR ADD/ALT SIGN Q DEMOLISH <br /> INSTALL 8 REPAIR �_ I�CG� <br /> PROPOSED USE � SFR Q COMM OTHER <br /> TYPE OF CON3TRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � �. -� � C y^.� <br /> 1 `1 / l . <br /> l <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING <br /> — VALUATION OF TOTAL CONSTRUCTION <br /> [�ELECTRICAL � AMP SERVICE Q PROGRESS ENERGY � W.R.E.0 <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLA ION // ���� <br /> QGAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILOER COMPANY <br /> SIGNATURE REGISTERED Y! N 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 /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address Ucense# <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 � C � �� " � <br /> License# �'J <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buliding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsUuction 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 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 Facilities 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 constructlon. <br /> Directions: <br /> Fill out applicaUon completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requlred. (A/C upgrades over s7500) <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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />