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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> , Building Department <br /> Date Received Phone Contact for Permittin - <br /> Owner's Name �t'� �K�CX�c� T'i Owner Phone Number <br /> Owner's Address � su'`� ��. S�C` N� <br /> l c: ��- ' ��''"� <br /> Fee Simple Titleholder Name �0��0 � lu�''�� � Owner Phone umber <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��o (S �� Z-e- � ✓v�.�L`'�S LOT# � <br /> SUBDIVISION f w ffa� PARCEL ID# O � - a " CiCJ� '^ �� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ����1 S 1.�. �"`-'ti ► -s•`� ' 1 <br /> BUILDING SIZE J � SGl FOOTAGE HEIGHT <br /> QBUILDING $ � VALUATION OF TOTAL CONSTRUCTIO � I �'�� S� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. <br /> OPLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � �� �� <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUIIDER 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 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 P Q. Box 1188 C�APAN'�" �'L <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Addreas 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,ConsVucUon Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Fadlities 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 submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Faalities 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "••PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,nota�ized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over E7500) <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />