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o i.s-iau-uutu C;ity of Zephyrhilis Permit Application Fax-813-780-0021 <br /> - Building Department <br /> Date Received Phone Contact for Permittin -- <br /> Owner•s Name Vb �Q�-S,C�i Owner Phone Number <br /> Owner's Address �� .3 .3 f �/ L " T v.5 s�L Owner Phone Number [ <br /> Fee Simple Titleholder Name Owner Phone Number r <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS ��/t'� � ] LOT� � <br /> SUBDNISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> INORK PROP03ED 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 Q STEEL Q <br /> DESCRIPTION OF 1NORK K c� � ��'qj' ���� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �� <br /> OBUILDING a VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING a <br /> �CHANICAL � 3��y�0 0 VALUATION OF MECHANICAL INSTALLATION <br /> / <br /> �GAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FIOOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> BUtLDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <br /> EI.ECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllitles&1 dumpster;Site Work Permit for subdivisions/large proJects <br /> COMMERCIAL Attach(3)complete sets of Buflding 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 Plans,Stormwater Plans wl Silt Fence instalied, <br /> Sanitary Facilities 8 1 dumpster.Site Wor1c 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 consUucdon. <br /> Dircctions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appUcation,nota►ized <br /> If over S2S00,a Notice of Commencement ia required. (A/C upgrades over E7500) <br /> '• Agent(for the contractor)or Power of ABomey(for the owner•)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTINEi (�ront of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />