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813-780-0020 City of Ze��hyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin -- J r <br /> Owner's Name `���� � Owner Phone Number <br /> Owner's Addre � � �1 �Q�� M��� � ^� l �� ��) pWner Phone Number � <br /> Fee Simple TitleholderNa e Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS '� ' t �(, , � - � ���� �� <br /> LOT# <br /> SUBDIVISION PARCEL ID# Q •� n -' � (� � 1/�00'"Q�Cj <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NSTALLS7R e REPAIR � SIGN O [� DEMOLISH <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q � <br /> DESCRIPTION OF WORK 'L. � (�' � CLI�'�,�G�� • C����6��� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT � <br /> �BUIIDING $ �j� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � ����L., <br /> /`-' <br /> OMECHANICAL $ VAIUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEV 10 FLOOD ZONE AREA QYES NO <br /> �;, <br /> BUILDER COMPANY ' <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Add�jess � License# C <br /> `^j�G�-,r tZ�'Y1� /�Y,c-r�c <br /> ELECTRICIAN �� Q. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> �I 3-?�a Ca2J <br /> �, A�r�� License# C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br />�``��-_____._.---'`� <br /> Address License# C <br /> MECHANICAL � .`���,� ,�, COMPANY � / �r � <br /> SIGNATURE REGISTERED - Y/ N FEE CU E� Y!N <br /> Address License# � � <br /> OTHER �/�j�� � ���,� COMPANY �'r Q� � <br /> SIGNATURE I G%/"G'/ °�Z���`""�� REGISTERED Y/ FEE CURRE� Y/N <br /> Address License# �(° /3��(S6�_ <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 Facilitles&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 Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)woHcing days after submittal date. Requf�ed onsite,Conshuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faalities&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 construcUon. <br /> Directfons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notartzed <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over ST500) <br /> •" Agent(for the conUactor)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 pubiic roadways..needs ROW <br />