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s�s-�ao-ooao C;ity of Zephyrhilis f'ermit Hpplication Fax-813-780-0021 <br /> Building Department <br /> Date Received � _ � /� /� Y � G� <br /> ' Pho�e Contact for Permittin �, p <br /> 'Owner's�Name r ',.r Owner Phone Number <br /> Owner's Address J�� v�,y .,r +� �� Owner Phone Number �_ <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ,l/ �yi.�w.r i� //,,� LOT# �� <br /> SUBDIVISION vv�++►u-� .�� ��,/ PARCEL ID# ��- j- 07 — D� 0 � DO-- Ol70 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � a/ /� ���,,,��� f ��o� J',1� �� f j� �,,, <br /> BUILDING SIZE � SQ FOOTAGE�� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E C. <br /> �PLUMBING $ I�� �� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> �GAS � ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER � ;a(;I ��} COMPANY ��'�A�ss,/ �t/� o� /q /I <br /> SIGNATURE REGISTERED Y N FEE CURRE� /N <br /> Address 0 /�i��l�n i ,� �� - License# �CG �,�/��!9 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CUR�.E� Y/N <br /> Address License# —1 <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/N <br /> Address 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)working days after submittai date. Required onsite,Construclion Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�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 /> Minimum ten(10)working days after submittal date. Required onsite,Construction Pla�s,Stormwater Plans w/Siif Fence installed, <br /> Sanitary Facilities& 1 dumpster Site Work Permit for ali new projects.AI�commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fiil oul application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over 37500) <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 />