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813-780-002Q City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Buiiding Department <br /> Date Received <br /> Phone Contact for Permittin <br /> Owner's Name !.�f7 i j ,�E� �,�, Owner Phone Number y <br /> l � � <br /> Owner's Address �� _� � - -� Owner Phone Number �— � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �+�.Q LOT# �� <br /> SUBDIVISION (//�s(�C.0 � ,t PARCEL ID# (/.� � (p �I O� �(, D(��QQCf ! � l� <br /> �OBTAINEO FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEw CONS7R ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME C� STEEI � <br /> DESCRIPTION OF WORK - �/�- � / . ,y��� v �I �� �L ` 7 ���J . <br /> BUILDING SIZE —� g(,�FOOTAGE�� HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY C] W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 7� S� , UZ� <br /> QGAS Q ROOFING Q SPECIALTY [_] OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# —� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL � � �� � COMPANY �/'/ � �C ���y�� �z/.� � <br /> SIGNATURE �-?`�' `�,t1�� ��� REGISTERED N FEE CURRE� N <br /> Address � ''' � A <br /> d''� �S� License# �iT�1�,�C�j�� � <br /> OTHER COMPANY <br /> 31GNATURE 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 Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivis(ons/large proJects <br /> COMMERCIAL Attach(3)complete sets of Buildfng Ptans 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 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 constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over S2S00,a Notice of Commencement Is required. (A/C upgrades over S7500) <br /> " Agent(for the contractor)or Power of Attomey(for the ovmer)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(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />