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e�s-�eo-oo2o City of Zephyrhilis Permit Application Fax=813-780-0021\ <br /> Building Department , <br /> Date Received � /�i /j Phone Contact fo�Permittin �"�.� � ��?—__`71��� � <br /> Owner's Name � L� � �� y!� / 1( •S Owner Phone Number <br /> Owner's Address �3 3 �� �` � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee 3impte Titleholder Address <br /> JOB ADDRESS LOT i� �� <br /> SUBOIVISION �— PARCEL ID# <br /> (OBTAINED FROAA PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK •-L�'���� `h'�"t� �-�wK /�_�1/Ct, G��/fj � C:9-�-S <br /> � , : <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �[" <br /> QBUILDING S j���-�J` �� VALUATION OF TOTAL CONSTRUCTION <br /> ! <br /> QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � ' � COMPANY 1/5 �� f�G�' �-C�H'tl�4t'w i'� <br /> SIGNATURE t� J�GV-��� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# "�����/�v l 7�' <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> PLUMBER COMPANY <br /> SIGNATURE REGtSTERED Y/ N FEE CURRE� Y/N <br /> Address License# <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)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 Facllitles 8 1 dumpster;Site Work Permlt for subdivisionsAarge projects <br /> Ct7MMERCIAL Attach(3)complete sets of Buflding 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 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 /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over=2500,a Notice of Commencement Is required. (AIC upgrades over:7500) <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 />