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813-780-002U City of Zephyfiilis Permit Application Faz-813-780.0021 <br /> Building Department <br /> Date Received Phone Contact r ermittin __ <br /> Owners Name w � Owner Phone Number <br /> Owner's Address � r Phone Number <br /> Fee Simple Titleholder Nam Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT�t �� <br /> SUBDIVISION �— PARCEL ID�! <br /> (OBTAINED FROM PROPERTY TAX NOTICE} <br /> WORK PROPOSED NEW CONSTR ADD/ALT �� SIGN Q � DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTI�N Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING 312E 3Q FOOTAGE C] HEIGHT <br /> OBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PIUMBING a <br /> QMECHANICAL $ VALUATI N OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING SPECIALTY C] 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 /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ <br /> Address nse# <br /> OTHER MPANY <br /> SIGNATURE REGISTERED Y N F E C RE� Y/ <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 Facilitles&1 dumpster;Site Work Permit for subdivisfons/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans pius a Life Safety Page;(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 /> Sanitany Facilities&1 dumpster.Site Work Permit for all new proJects.All commerc(al requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. ` . <br /> ""'PRpPERTY SURVEY required tor all NEW consVuction. <br /> Di►ections: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over i2500,a Notiae of Commencement is required. (A/C upgrades over 57500) ' <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 /> Oriveways-Not over Counter if on public roadways,.needs ROW <br />