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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � � � � p?�i3 phone Contact for Permittin D 1 3 3�� --�s (p <br /> Owner's Name ,,� �� 2. � �, Owner Phone Number ,�jQ ` � -..Z./`j�, <br /> Owner's Address �J7 ��� ` ,f ��; Owner Phone Number C <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# �� <br /> SUBDIVISION PARCEL ID# O3�oZ�p -oZ/ • (7 /�Q -Oti?Oflv "' Q� .�O � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN [� [� DEMOLISH <br /> �NSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM [—� OTHER [�-- <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL [� � <br /> DESCRIPTION OF WORK Lr1�S7 t�l l�.�t'/�-]'Z ��- �� ,�' /✓J�•,O �/ a/�u'Tln � � <br /> , �_ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT ] <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ / _Gy o� AMP SERVICE L�v/1 � PROGRESS ENERGY Q W.R.E.0 <br /> C1J0 lo <br /> v� �c'� i r — /cR� �} <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS 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# C <br /> ELECTRICIAN �D, I ' , ` COMPANY � '\.� �� <br /> SIGNATURE ����-' �� \�-� REGISTERED Y/ N EE CURREA Y/N <br /> Address ? S 5��2t �� �Z�� License# C <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 Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facflfties 8 1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Build(ng 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 instalted, <br /> Sanitary FaciliUes&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets ot Engineered Plans. <br /> "*"PROPERTY SURVEY required for all NEW consVuctlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is 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 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 />