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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received _ <br /> Phone Contact for Permittin .` Z 2.U� __ ��3�� <br /> Owner's Name ��`�ti"'C r`t C L ��'�G�C r � Owner Phone Number <br /> Owner's Address 2 �, 1�L -t'���� Owner Phone Number � -� <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION PARCEL ID# S�-2.5- 2 I - Q l Z d-(�(7� ^ 2'kO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw CONSTR 8 ADD/ALT [-� SIGN Q [� DEMO�ISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRI.�CTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �� I�yF w� �1� w►43�-tr �. b i�'1 � t.i � �po� <br /> BUILDING SIZE � 3q FOOTAGE I K S HEIGHT <br /> QBUILDING $ c+..� <br /> G 2 fjG 1- VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> MECHANICAL � �� �� <br /> 0 $ VALUATION OF MECHANICAL INSTALLATION �( <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISFiED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � �� � � y COMPANY { (..L ltpv-t-, .� <br /> SIGNATURE ) REGISTERED Y/ N FEE C RE� Y/N <br /> Address o c�JL � � - j5n License# � -� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <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 after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitfes 8 1 dumpster;Site Work Permit for subdivisionsflarge 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 consWction. <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 Woric 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 consVuction. <br /> Directfons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appBcation,notartzed <br /> If over 52500,a Notice of Commencement is required. (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 />