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e�s-�eo-oo2o City of Zephyrhilis Permit Appiication Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin <br /> Owner's Name � J �� Owner Phone Number 7— (�j/—/ "� <br /> Owner's Address � )c� �-�, � Owner Phone Number �j� ���— %1.,� / <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# �� <br /> SUBDIVISION PARCEL ID#�— <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT [� SIGN Q [� DEMOLISH <br /> INSTALL � REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL <br /> DESCRIPTI�N OF WORK �S �'� ��� <br /> BUILDING SIZE SQ FOOTAGE C] HEIGHT � <br /> QBUILDING S - VALUATION OF TOTAL CONSTRUCTION <br /> �� r � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ /7� 7�'S��_ <br /> � �� <br /> J�c� � t� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> Sc�r,c.l l�c�. <br /> �GAS Q ROOFING Q SPECIALTY [� OTHER )�, /�S �� <br /> �'i l <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO [ <br /> BUILDER � � COMPANY ��'�255 U�'�/�Q,�" <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN ; �jJ� /�� � ��1 COMPANY ��}V�/�L �S/�,DLIC�C��l��Y ���f jY/� <br /> SIGNATURE G!6 � " ` REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � /� r��'�Ir�? N`/ 1,� ��f� �� - License# 1-=��. ��-'�]' ��� <br /> PLUMBER 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 �icense# � <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�ew construction, <br /> Minimun ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllitles b 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 Fortns.R-O-W Permit for new construcdon. <br /> Minimum ten(10)worlcing 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 construction. <br /> DirecNons: <br /> Fill out application compietely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement fa requlred. (A!C 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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />