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p1-'"�-���u c:ity of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin � __���..' <br /> Owner's Name Owner Phone Number '�,Q q• <br /> Owner's Address � � Owner Phone Number �— <br /> Fee Simpie Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS "I ' � LOT� � <br /> SUBDIVISION PARCEL ID# • � • •�� .��� <br /> (OBTAINED FROM PROPERTY T/1X N0T10E) <br /> MIORK PROP03ED e NEW CONSTR 8 ADD/ALT � g�GN Q DEMOLISH <br /> INSTALL REPAIR LOp,�r`. <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL � <br /> DESCRIPTION OF WORK t��t" OV� � <br /> sUiLDING SIZE SQ FOOTAGE�� HEIGHT <br /> �BUILDING $ -- VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING a <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION .�`' ��"'�� <br /> l ' <br /> QGAS �' ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLO00 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 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/N <br /> Address License# �_ <br /> OTHER �}�� COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CU n Y I 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,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles�1 dumpster;Site Work Permit for subdivfsionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buiiding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days aiter submittal date. Required onsite,Conshuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new proJects.Ali commercial requirements must meet�compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"•"PROPERTY SURVEY required for all NEW consWctlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Conhactor sign back of appiicatlon,notarized <br /> If over 52500,a Notice of Commencement ia requlred. (A/C upgrades over 5T500) <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 Applicatlon Only) <br /> Reroofs i1 shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />