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���-�nu-uuzu ��,,,� City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Cr�— � l� _ <br /> � �� Phone Contact for Pennittin <br /> Owner's Name �Q yl( ' j�j,1`j�('� Owner Phone Number <br /> OvNner's Address 38135 l�NQ,ek3�e� V,d Q� Owner Phone Number � � <br /> Fee Simple Titleholder Name Owner Phone Number —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� � ` � 1 � LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> MIORK PROPOSED B 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 [� FRAME [� STEEL [� <br /> DESCRIPTIUN OF WORK T�S'[',QZG�'(1G� DF Sl`� �f — � <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT <br /> QBUILDING $ <br /> /iOScli.�� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING a <br /> MECHANICAL �jE � ���� <br /> � $ VALUATION OF MECHANICAL INSTALLATION ,t-� <br /> [�GAS Q ROOFING Q SPECIALTY C] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— —� <br /> AAECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> .--•, <br /> Address ' License# � <br /> OTHER � COMPAHY s� p'' G <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address / (p p 3 $� �icense# E��3o c731�a � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Pe►mit for new construction, <br /> Minimum ten(10)working days aiter submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilftles 8 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)working days after submittai date. Requ(red onsite,Construction Plans,Stormwater Ptans w/Silt Fence instailed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMI7 Attach(2)sets of Engineered Plans. <br />�..���,�.-•.. - , _ ;",'P.FtQPE�T.Y,�URVEY required for all NEW constructlon. <br />',� � �rr��n���rrre��„y��.����.��■�...� , i aaiaua <br />� DireCtlon�, e,,�� �N� r � �� <br />'.e .�Il6vyt�AF�v4►I+G�n! I, y� � <br />� Owr1eC�C��aatot slg�a elF o�applicaHon,notarized "" "` � ` <br />'��"• ""'nl�over SZ500,a Notfce,of Caminencement Is requlred. (AJ�'upgrades over;7500) � <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)vi!ould be someone with notartted.letter,�olf�owner authorizing same <br /> OVER THE COUNTER PERMtTT'ING (Front of Appllcation Only) ' <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PfoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />