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� � aisasaoo2o City of Zephyrhilis Permit Application Fax-813780-0021 <br /> , . Building Department <br /> Date Received �- � <br /> Phone Contact for Permittin <br /> TITr -- <br /> Owners Name �, (,(��.1 p�gJ�f Owner Phone Number (�"���-aoq� <br /> Owner's Address � 1 1�� �� � �� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number —� <br /> Fee Simple TiGeholder Address - <br /> JOB ADDRESS i�( T# I ! <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTIC <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SiGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIP110N OF WORK E `QO� � 1(���G (rE, Q � � <br /> BUILDING SIZE SQ FOOTAGE ��LI HEIGHT � <br /> � � � e � � � � � � � � � � i � � � � � � � � � � � � � � � r� <br /> QBUILDING � �Q � VALUATION OF TOTAL CONSTRUCTION <br /> _+ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W.R.E. /�q <br /> � (� ` <br /> QPLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR LEVATIONS FLOOD ZONE AREA QYES NO -- <br /> BUILDE �.—_— COMPANY l �h ��j–�� 1�C <br /> SIGNATURE REGISTERED Y FEE CURRE� Y/N <br /> Address � � 1 1 Y t c5 �� License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address L�cense# <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURREA Y/N <br /> Address � <br /> License# <br /> OTHER COMPANY � <br /> SIGNATl1RE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# �— <br /> 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 I 1 1 1 I I 1 1 I 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submirial date. Reqwred onsite,Construction Plans,Slormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsVuqion Plans,Stormwater Plans w!Silt Fence installetl, <br /> Sanilary Facilities 8 1 dumpster Site Work Pertnit for all new projecis.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consirudion. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contrector s�gn back of application,notanzed <br /> If over Sz500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Ariomey(for lhe owner)would be someone with notarized letter from owner authonzing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PIOVSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />