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s�3-�ao-oozo City of Zephyrhilis Permit Appiication Fax-813-780-0021 <br /> Buiiding Department <br /> Date Received Phone Contact for Permittin !�Z --s�l,3 <br /> Owners Name �, i1 V � w,st/Cj•Y/ Owner Phone Number ���"' � T-�b 8s,� <br /> Owner's Address ,S ��'< J�� Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �%'� �! E' LOT# �� <br /> SUBDIVISION � � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK 2 �p G£ .�T �U� <br /> BUILDING SIZE �--� gQ FOOTAGE� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> OMECHANICAL $ ��,-OO p� VALUATION OF MECHANICAL INSTALLATION <br /> ���� <br /> OGAS Q ROOFING Q SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILOER 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 Ucense# �— <br /> MECHANICAL i� � COMPANY �4N•�S �f�' q<y c�.�J G'�� Il+/ <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �/��Q l�.�' �/ � <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 PeRnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy FoRns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitfes&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 construcGon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of applfcadon,notarized <br /> If over 52500,a Notice of Commencement is 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 Applicatfon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSunrey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />