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a�s-�eo-oo20� City of Zephyrhilis Permit Application Fax-813-780.0021 <br /> Buflding Department <br /> Date Received g'�� �"7�� __ C�l� <br /> Phone Contact for Permfttin / .J <br /> Owner's Name �y � Owner Phone Number l�' �"1 g� <br /> Owner's Address Owner Phone Number � <br /> Fee Simple Titleholder Name � Owner Phone Number C � <br /> Fee Simple Titleholder Addresa -� <br /> JOB ADDRESS � �0 �/�, 1�ue� D,g-�S LOT�t � <br /> SUBDIVI510N r- PARCEL ID# �� " .c�`�� � �d�'e���_ ��p� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED e NEW CONSTR� ADD/ALT Q SIGN 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 /> DESCRIPTION OF WORK /71 D Y� � /�C�-PCGCC:L° d� TO'7►. �'l/"' QN [Z"10/L�°� Z �dm�JprUe � <br /> ✓ <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT � <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING a <br /> �����9 <br /> QMECHANICAL $ •�`'1�q� � VALUATION OF MECHANICAL INSTALLATION <br /> :J � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER I�� Z3 <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 <br /> SIGNATURE REGtSTERED Y/ N FEE CURRE� Y/N <br /> Address License# C -� <br /> PLUMBER COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# C <br /> MECHANICAL ` ` COMPANY �S �'��e C7rf�S � �`T�(�° <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �'�"?'� / P� , L' / 5' �L.. License# (�+f�}1?� r� /'7 � � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minlmum ten(10)working days after submittal date. Required onsite,ConsUucGon Plans,StoRnwater Plans w/Silt Fence installed, <br /> Sanitary Facllities&1 dumpster;Site Work Permit for subdivisfons/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Perrrit for new construction. <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciflties 8 1 dumpster.Site Work Pe►mit for all new proJects.All commerc(al requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW consVuctlon. <br /> Directions: <br /> Fili out application completely. <br /> Owner 8 Contractor sign back of applicadon,notarized <br /> If over 52500,a Noti¢e of Commencement la requlred. (AJC upgrades 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 PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />