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a ia-�eu-uutu C;iry of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �1 � Phone Contact for Permittin a __ ��y <br /> Owner's Name Owner Phone Number C�I � • �l.�S� <br /> Owner's Address Owner Phone Number � <br /> Fee Slmpie Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � � � LOT#� �� <br /> SUBDIVISION ��V�Q�,('�j �p� ���� PARCEL ID# �bl�b'��C�• CJ(��� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> MIORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q DEMOLISH <br /> INSTALL REPAIR � � ,��� <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � ' �' � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> [�BUILDING S .�. VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ J <br /> a A I <br /> V� <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION � � <br /> , R <br /> QGAS � ROOFING Q SPECIALTY � OTHER (Q� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUtLDER 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 /> PIUMBER 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 CURR Y!N <br /> Address t� License# [�L ' [���� <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)woildng days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadBtles 8 1 dumpster,Site Work Permit for subdivisions/large 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 conshuction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciflties 8 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 requlred for all NEW constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,nota►ized <br /> If over i2S00,a Notice of Commencement la required. (A/C 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 Applicatfon Only) <br /> Reroofs if shingles Sewers Serv(ce Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />