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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received / -- Z3�Y�C <br /> Phone Contact for Permittin Z�E'3 <br /> Owner's Name -��� U � Owner Phone Number <br /> Owner's Address Owner Phone Number C <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� � � � Q�( LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN Q �� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [� SFR Q COMM [� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q � <br /> DESCRIPTION OF WORK fS�i'�i./�L� a�(}G s� �� �—�T <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT <br /> QBUILDING $/��UU VALUATION OF TOTAL CONSTRUCTION <br /> l <br /> QELECTRICAL $ ����,1 AMP SERVICE [� PROGRESS ENERGY Q W.R.E.C. <br /> CJ <br /> OPLUMBING $ �D�D <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /��� <br /> ��� � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> , _ :�V <br /> BUILDER � i COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C —� <br /> ELECTRiCIAN �/�� ,%� � � � COMPANY <br /> SIGNATURE �"`"`� ��:/�*-' � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � —� <br /> l% <br /> PLUMBER � ,� � � COMPANY <br /> SIGNATURE -t%Z/`{-� � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# � <br /> MECHANICAL '� COMPANY ��PI�2 S �.V 4'rv i ,�f LA�( <br /> SIGNATURE � R E G I S T E R E D Y/ N E C URRE� Y!N <br /> Address License# GA�=�Y39Y�'' <br /> � <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 Buflding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflities&1 dumpster;Site Work Permit for subdivisionsllarge 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 FaciliUes 8 1 dumpster.Site Work Permit for all new projects.All commercia�requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""`PROPERTY SURVEY required for ail NEW construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over i2500,a Notice of Commencement is required. (A!C upgrades over S7S00) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner autharizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlobSurveylFootage} <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />