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a�s-�so-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin _ <br /> Owner's Nane 'r � - � <br /> t Owner Phone Number <br /> Owner's Address � �3 e i\ �- Owner Phone Number �— <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee 3imple Titleholder Address <br /> JOB ADDRESS ���f � V !L� f�GL '�-'� i/� LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTIVNED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED e NEW CONSTR B ADD/ALT [J 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 Y � e ��C � ��� e� e ra <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ i1� qMP SERVICE <br /> g 7' Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING a <br /> QMECHANICAL $ � /C� ��f <br /> VALUATION OF MECHANICAL INSTALLATION ( <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FIOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> � <br /> - Ucense# <br /> ELECTRtC1AN COMPANY $ <br /> SIGNATURE REGISTERED / N FEE CURRE� Y/N <br /> Add�ess ._ <br /> License# <br /> PLUMBE COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address <br /> 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)wo►king days after submittal date. Required onsite,Construction Plans,Stortriwater Plans w/Silt Fence installed, <br /> Sanitary Facllit(es&1 dumpster;Site Work Permit for subdivfsions/large projects <br /> COMMERCIAL Attach(3)complete sets of 8uflding Plans plus a Life Safey Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requ(red onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilittes 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Englneered Plans. <br /> ""'PROPERTY SURVEY required tor all NEW consVuctfon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sigM back ot application,notarized <br /> If over 52500,a Notice of Commencement ia requlred. (AIC upgradea 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 PERNAITTING (Front of ApplicaUon Only) <br /> Reroafs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Cownter if on publiC roadways,.needs ROW <br />