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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received t 'L --��� phone Contact for Permittin �r r �� _ _ <br /> Owne►"s Name Owner Phone Number <br /> Owner's Address �°9 I� ��J S �"'�'� ���'�'�� Owner Phone Number � <br /> Fee Simple Titleholder Name �— —� Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��f u ✓)��`'"����� `-� 1�- <br /> LOT# � <br /> SUBDIVISION � �Q-�'- Wyv�e V�t\1u.� PARCEL ID# p�{j � � ���'Z� � ��� ����-� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CONSTR ADD/ALT C� SIGN Q C] DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BIOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �'���� �'�-��� C��M i!\}�c.,�-r'� �,�, ` , <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT C� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION �'�� � <br /> �ELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY [_] W.R.E.C. <br /> QPLUMBING $ �,J WKp <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � '��� � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN �� COMPANY 'JV��S �/�Chn^" ��-`.C��:� �"�C <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address j Jp�-���' /-�- p-T� J-�-336� License# � ����%J'�q <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 CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciiities&1 dumpster;Site Work Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Pians plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalted, <br /> Sanitary Facilities&1 dumpster.Site Woric Permit for all new projects.All commerciat 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&Contractor sign back of appiication,notarized <br /> If over 52500,a Notice of Commencement is requlred. (A/C upgrades over 57500) <br /> '" Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone with notarized letter ftom owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appiication 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 />