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813-780-0020 City of Zephyrhilis Pe�mit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � r a,Z –�� Phone Contact for Permittin �--' �` �U� __ ��� �- <br /> Owner's Name G�J I Cr� Owner Phone Number <br /> Owner's Address �./� �v��n G�� � z in, ,r-�^; i FI Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titieholder Addresa <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION PARCEL ID# �J�Z� �.( �- l Zn G,� ° 2-�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> MVORK PROPOSED NEw CON57R ADD/ALT [� SIGN Q [� DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER (-- <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL � <br /> DESCRIPTION OF WORK � Gc,} e� {�� i N � C Gc �a v <br /> BUILDING SIZE SQ FOOTAGE 1 I S HEIGHT � <br /> QBUILDING $ C � �_ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ � AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> Q PLUMBING $ /���'1 <br /> ;� U <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � ��"� COMPANY � �`� ��d ' ''L � <br /> SIGNATURE �i -`. " REGISTERED Y/ N FEE C n Y/N <br /> Address � x License# C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP —�Y/N <br /> Address License# C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �icense# C <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I 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 aRer submittal date. Required onsite,Constructlon Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facflities 8 1 dumpster;Site Work Permit for subdivis(onsAarge 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 subm(ttal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new proJects.All commercia►requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '"""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notartzed <br /> If over E2500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> '" Agent(fo�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 />