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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0�21 <br /> Building Department <br /> Date Receiaed a /f /2� ��-� �l3 � 3.S 3 � <br /> Phone Contact for Permittin <br /> Owner's Name . i4 �lG�v�Ci � f f Owner Phone Number S�(!�/�C <br /> Owner's Address .���a� /�e�r o��y /�v.Q <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �Ss`t /E�F/�'/o�p� LOT# �� <br /> SUBDiVIS10N 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 <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL Q <br /> DESCRIPTION OF WORK iY�d`�io� �`�, S�j�d ��(�' y.,r'r'��s,� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 3�0.�� <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ , �� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALIATION <br /> .� I `� � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> BUILDER l Q t COMPANY �� <br /> SIGNATURE s�lpyr� � , REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address License!k �- <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# r- <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,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitfes 8 1 dumpster;Site Work Permit for subdivlsionsAarge 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 subm(ttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 construcNon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicaHon,notarized <br /> If over s2500,a Notice of Commencement is required. (A/C upgrades over s7500) <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 />