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sis-�ao-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> ' � Building Department <br /> Date Received ' /� ���' _ � � <br /> Phone ContactforPermittin <br /> Owners Name Owner Phone Number /S'� ' /�7'� <br /> Owners Address 3� O� l�� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3���' � �'{� LOT# � <br /> SUBDIVISION C' PARCEL ID# �'"arj'07 -��7�����a� G <br /> (OBTAINED FROM PROPERTY TAX NO710E) <br /> WORK PROPOSED e NEW CONSfR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIP'T10NOFWORK had e -IL 51�11 V�(7'!%� e fSTtn 1�8UT <br /> BUILDING SIZE ��JU /f S�FOOTAGE IDS• HEIGHT �� <br /> �J <br /> UILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> pZ`�'J. <br /> LECTRICAL $ � �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> �y� " �� �,3 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION T�( <br /> l <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> /� <br /> BUILDER � v COMPANY � iO11S f '(�O Y� <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y I N <br /> Address �DaS��OL�� L�JI� E � . License# 5 77 �. <br /> ELECTRICIAN � ��+jCOMPANY `/�O.�jj�/l` G� <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address (�! V C,� N,���f � /� License# G QQQzs 5� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY -� <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> III1111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pertnit 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 construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 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 required for all NEW construction. <br /> Directions: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMII"fING (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 />