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813-780-0020 City of Zephyrhilis Permit Appiication , � Fax-813-780-0021 <br /> Building Department � <br /> G,, <br /> Date Received '� ��i� l'� � <br /> Phone Contact for Permittin 'C"f�� __ `�'� � <br /> Owner's Name { ' Owner Phone Number <br /> �,� /] <br /> ` ; C <br /> Own r's Address `7 f 1 �' J�� J � /T���phone Number � <br /> ���la,�� <br /> Fee Simple Titleholde ame Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � � � (.t. �r���- . l/ ���/ 1 S L cS � �1'� �� <br /> SUBDIVISION PARCEL ID# �1� � -� -�1 " )-� � �-- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CONSTR ADD/ALT � SIGN Q [� DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER ' (A_I lG� 1 <br /> TYPE OF CONSTRUCTION Q BLOCK F ME STEEL � � <br /> DESCRIPTION OF WORK ��,I �/ f � --���_� <br /> �� <br /> BUILDING SIZE SQ FOOTAGE U HEIGHT � <br /> OBUILDING $ �:-5�/`, VALUATION OF TOTAL CONSTRUCTION <br /> U(J(� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING $ <br /> , ���- ���c Nt �� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> V\'��� <br /> OGAS Q ROOFING Q SPECIALTY �] OTHER � �/ <br /> FINISHED FLOO ELEV TIONS FLOOD ZONE AREA QYES NO �, `� <br /> ' , � I V �1 <br /> BUILDER ' COMPANY C��l 3 �I�� �, <br /> � <br /> SIGNATURE REGISTERED Y/ FEE CURRE� Y/N <br /> ddress � License# C <br /> � �Q-�.'�1,�L.►'� J <br /> LEC RICIAN � � � `nl� � COMPANY r — � <br /> IGNATURE �� REGISTERED Y/ N F CURRE� Y I N <br /> Address License# C <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �icen ,�# C <br /> � <br /> MECHANICAL �r � � COMPANY t � ^. <br /> SIGNATURE REGISTERED Y! N En /N <br /> Address License# <br /> OTHER G!�� ,/ /y2��'���� COMPANY � ��H <br /> SIGNATURE �.�/' REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# l'�L��,3a b 6�S� —I <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 Pertnit for subdivistonsAarge 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 submittal date. Requlred onsite,Construction Ptans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facilities&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 consUuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notartzed <br /> if over 52500,a Notice of Commencement is requlred. (A!C 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 />