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n,s-�ao-uuzo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received, Phone Contact for Permittin � /3'`��� <br /> , ' <br /> Owner's Name /���� �.f/f�� /U/� Owner Phone Number <br /> Ov�mer's Address /�� �c.���'i7/� l�'� S�fw Owner Phone Number C <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> J06 ADDRESS �/��� ,r�i G�C��� /C � � � / �j. Y'Z LOT# �� <br /> SUBDIVI510N �G7����' �"�/ _'- PARCEL ID# �.3�� H����yP`����0 TB <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADDlALT Q SIGN Q �] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER �— <br /> TYPE OF CONSTRUCTION [� BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �"1�"C/�'L- C�/?C�i�.%;jd��-,(�•�-- �jr�.,�,,, �f G CC� c,�'�� <br /> BUILDING SIZE •%s'���� SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> /�,_,,�, (�c,l%,`-- <br /> (�X �ELECTRICAL $ �%� AMP SERVICE �S � � PROGRESS ENERGY � W.R.E.0 <br /> IT�, T <br /> OPLUMBING � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �( I l �� <br /> QGAS Q ROOFING Q SPECIALTY � 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# C <br /> ELECTRICIAN ���'�� COMPANY C C �`,����� �=1�� �` C. <br /> SIGNATURE ¢ REGISTERED Y/ FEE CURREA Y/N <br /> Address s��O �il//� � �J C°L License# ��-- f 3�U�7 U� <br /> PLUIIABER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGiSTERED Y/ N FEE CURRE� Y!N <br /> Address License# C � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets af Building Plans;(1)set of Energy Fortns;R-O-W Permit br new construction, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,ConsUucGon Plans.Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadfltles&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minirnum 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 consVuction. <br /> Directions: <br /> Fill out applfcation completely. <br /> Ovmer 8 Contractor sign back of applicaHon,notarized <br /> If over 52500,a Notice of Commencement is requtred. (A/C upgrades over t7500) <br /> •• Agent(for the contractor)or Bower of Attomey(for the owner)would be sameone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Reroofs ii shingles Sewer� Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />