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a�3-�ao-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received Z— � � 7/ -- 3 3��� <br /> �� � Phone Contact for Permittin � <br /> Owner's Name ��`������� /g r�Cf/(JSd�L� Owne�Phone Number 3�'6 ~�,j 6 p�fZ <br /> <<, COwner's Address � �3 ����r,r�i��� f�j i(// �,q, p�er Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � b �I L���'�I� I�v� LOT# � L <br /> SUBDIVISION _ PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CONSTR ADD/ALT �� SIGN Q [� DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER ' '- °"'� " "r�il <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q--� <br /> DESCRIPTION OF WORK l�l��f'/7� //j _S J' ��/1� � � � /S6 � L ��s /y�fi � <br /> '6 <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT ] <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ �� G� AMP SERVICE � PROGRESS ENERG� - W, .C. <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLA ON �J /��"' ��� <br /> - l ' t ! <br /> OGAS [� ROOFING Q SPECIALTY � OTHER ( <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYE �0-- <br /> BUILDER , *'� // � COMPANY <br /> SIGNATURE �'/ / ���C� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address U b� 1��y. � � j,/� �f� � %� f`Z License# C <br /> ELECTRiCIAN �� �� COMPANY �A(/Z�/VL D�� ,(�Od1�L.( �� �c /� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# LG�� C��j�� o <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W PeRnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilides 8 1 dumpster;Site Work Permit for subdivisionsRarge 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 Facilities 8 1 dumpster.Site Work Permit for ail 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 appBcaHon,notarized <br /> If over 52500,a Notice of Commencement is requlred. (A/C upgrades over:7500) <br /> "' Agent(tor 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 AppHcation 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 />