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813-780-Q020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � — Phone Contact for Permittin _ <br /> Owner's Name ` � � Owner Phone Number <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 p /�l ^�c� 3�y /V '�,11G� l�'(/� LOT# �� <br /> SUBDIVISION � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL � <br /> DESCRIPTION OF WORK � �,��G�o.-� <br /> BUILDING SiZE SQ FOOTAGE C� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ � JA AMP SERVICE �QO � PROGRESS ENERGY Q W.R.E.C. <br /> r <br /> OPIUMBING $ �/�� Q�� <br /> OMECHANICAL $ _� VALUATION OF MECHANICAL INSTALLATION --- <br /> OGAS Q ROOFING Q SPECIALTY C] OTHER � /� �S� 1 <br /> FINISHED FLOOR ELEVATIONS FIOOD ZONE AREA DYES NO _./ <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY �Iy���/G��'/G�c <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � � 3 �� ��3� License# �G�.3�(7/3 <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 submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivlsions/large pro)ects <br /> COMMERCIAL Attach(3)complete sets of Buildfng Pians 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 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 Pians. <br /> "•"PROPERTY SURVEY required for all NEW construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&ConVactor sign back of appHcation,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 5T500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fe�ces(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />