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813-780-0020 City of Zephyrhilis Permit Appiication Fax-813-7'80-0021 <br /> Building Department <br /> ��c-".� G <br /> Date Received � <br /> Phone Contactfor Permitt(n ���/ � '/�' ' <br /> Owner's Name s-yti/ � Owner Phone Number <br /> Owner's Address � �C�jt7/��y Owner Phone Number � <br /> / �Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> JOBADDRESS � �/Qf/. � � L�/�//` LOT# C� <br /> SUBDIVISION PARCELID# p�r�J�����i l'/OQ��i � l,O,,j{� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER � <br /> TYPE OF CONSTRUCTION �� BLOCK Q FRAME � STEEL Q �-� <br /> DESCRIPTION OF WORK � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> .�LUMBING $� , <br /> ) 9i <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# I � <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# � <br /> PLUMBER i; (/ � / ��'�rL� COMPANY � �y j7`I�I4JL/I� � <br /> SIGNATURE � �t � � � REGISTERED N FEE CURRE� Y/N <br /> ,+- c <br /> Address G��lL- � � License#`����/_��j/J��� <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 /> Illllllllllllllllllllllllllllltlltllllllillllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Piot 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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&t dumpster;Site Work Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Ptans 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 Pertnit 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 /> Directtons:• <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC 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 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 />