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a�saeo-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Z Phone Contact for Permittin � �8 Z -- �✓ <br /> Owner's Name � C 99 w�Gl�Z Owner Phone Number <br /> Owner's Address E��8 FwT �/lX� Owner Phone Number �— � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS s'Qwl LOT# C� <br /> SUBDIVISION PARCEL ID* <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �/�— �/Sr� �(/�'/ <br /> BUILDING SIZE 361 FOOTAGE� HEIGHT �� <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL a AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING a <br /> MECHANICAL $ O�s c+� VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER 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 /> PIUMBER � � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL ���_ COMPANY !3/�l� � ��o qw � c L <br /> SIGNATURE REGISTERED Y/ N F E CURRE� Y/N <br /> Address License# �ACL7 3 <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 oi Energy Forms;R-O-W Permit for new construction, <br /> Minimum len(10)working days after submittal date. Required onsite,ConstrucGon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliHes&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3}complete sets of Buflding Plans plus a Life Safety Pag�+;(�)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 8�1 dumpster.Site Work Permit for all new projects.All commercfal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '""'PROPERTY SURVEY requfred for alf NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,nota�ized <br /> if over 52500,a NoNce of Commencement la requlred. (A!C upgradea over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be sameone with notarized letter irom 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 />