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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone ContactforPermittin - <br /> TITr <br /> ,r,_1 ,��, 1' � � <br /> Owner's Name � wl`i�l� M �C� CLi 1�{�C Owner Phone Number <br /> Owner's Address ��5 1 ��FCi_I �. ►1�. Owner Phone Number �� <br /> Fee Simple Titleholder Name Owner Phone Number �� <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS V���� �"��T��-� iJ�Q� �� . LOT# [� <br /> SUBDIVISION PARCEL ID# � <br /> (OBTAINED FROM PROPERTY 7AX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER � <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL Q �-� <br /> DESCRIPTION OF WORK � <br /> BUILDING SIZE S�FOOTAGE� HEIGHT � <br /> TTrI'TI"ITTTrTI"ITrT1"rr rq..r <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � x'��l �/� �O�'� : R��UCA'I� ��OX��M/A� � <br /> � <br /> i'J2r .Sr�Z%►�/,�c��.s �irb ear' 6ldc,K .�tlAPcar. <br /> �MECHANICAL $ '2 A(�p �� VALUATION OF MECHANICAL INSTALLATION . <br /> J� -1 c'1 <br /> �e�.i'�li� = Q✓� /�/�l� <br /> QGAS � ROOFING Q SPECIALTY � OTHER �A�^ ���^07` <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO �_wJL �7�� P��C/�0/�� <br /> I�// <br /> �+-�--r�r+-�--r� .--r 1 i i' i � ,...�„�,,,,,,,� <br /> BUILDER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# � <br /> ELECTRICIAN � COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# � <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 CURRE� Y/N <br /> Address � <br /> License# <br /> OTHER ( f �� t� COMPANY ^ l +1' �J�L' �/��C�/��l l`�� <br /> SIGNATURE ��v" • REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ���1- I��C..f►�M1��G• 1 �1 / � License# ����C�()lL�/ <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Bwiding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new coristruction. <br /> Minimum ten(10)working days after submirial date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 construdion. <br /> . . . . �„��• «u 4,4a�• •�„r��4„4�• ��• •.�-.�+-��I-i��l-• <br /> Directions: <br /> Fill outapphcation completely .�f�1V[[TTEf PLAN(�)I�AVE HEEN 1�E�'hiW:i <br /> Owner&Contractor sign back of application,notanzed <br /> �f over 52500,a Notice of Commencement is required. (A/C upgrades over��o�?� �� H LLS FIRE MARSHAL'S OFFICE <br /> "' Agent(for the contractor)or Power of Attomey(for the owner)would be someonef3��ota ere�. �r aut i ' me <br /> OVER THE COUNTER PERMI771NG (Front of Application Only) ,� <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveyl�oot ge)� - � �--- <br /> Driveways-Not over Counter if on public roadways..needs ROW �� <br />