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u ia-iesu-uucu C:iry of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone CoMact for Permittin 3 --� �a __ (�c:;�-� <br /> Owner's Name e Owner Phone Number ��_��� •(pb p, <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee 3imple Titleholder Address <br /> JOB ADDRESS �J �[Of� �.� 33���p LOT#� �� <br /> SUBDIVISION � PARCEL ID# �U'Llo Z �I Z� •C�X�. „ �, <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> MIORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR � ����� <br /> PROPOSED USE � SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTIOM Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK I �; � -(�ja � <br /> BUILDING SIZE SQ FOOTAGEr-� HEIGHT <br /> [ �BUILDING �Q�'�('� VALUATION OF TOTAL CONSTRUCTION <br /> a v u I.J�J • <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING a � � /� �(` <br /> � (� T <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS ,� ROOFING Q SPECIALTY [�� OTHER � �U��� <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# r <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 E • 1� �i License# ��,�j�S�� � <br /> RESIDENTIAL AtNach(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 aRer submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles&1 dumpster,Site Work Permit for subdivisions/large proJects <br /> COMMERCIAI Attach(3)complete sets of Building Plans plus a Lffe 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 Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciflties 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compBance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ••""PROPERTY SURVEY requlred for all NEW constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over i2500,a Notice of Commencement ia 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 Appiicatlon 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 />