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813-780-0020 City of Zephyrhilis Permit Appiication <br /> Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> � 1 1 � 1 `�� <br /> 1 1 1 1 1 1 1 1 ,� .,, J- j ,� (���✓�c.� <br /> Owner's Name �`_�' � ` ,%� �� Owner Phone Number ��� <br /> �J � ffrrnerPhone Number <br /> ' 1 �+r C�C-+- � ` <br /> Owner s Address `� <br /> (iriherPhone Number <br /> Fee Simple Titleholder Name � <br /> Fee Simple Titleholder Address � <br /> � LOT# <br /> JOB ADDRESS � �� Q�� �;. � �. � �y 1_�J� <br /> �ARCEL ID# �� � � � — V U " C,�I.J l ��lJ � <br /> SUBDIVISION (pBTA1NED FROM PROPERTY TAX NO710E) <br /> WORK PROPOSED � NEW CONS7R e ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q F�+ME � STEEL Q <br /> � . ; �1�� 13 SC'e'�" �ll� ��-Li�. <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT �� <br /> �BUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � f �� .� <br /> l <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 4 � � <br /> �GAS � ROOFING Q SPECIALTY � OTHER ! � <br /> FINISHED FLOOR ELEVATIONS <br /> FLOOD ZONE AREA �YES NO � � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREf. Y/N <br /> License# <br /> Address <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N� FEE CURREM1 Y/N <br /> License# <br /> Address <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> License# <br /> Address �(' i / <br /> MECHANICAL , <br /> � � COMPANY L` �� �r v I`�� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address i� C� License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEe curtaEn Y/N <br /> License# <br /> Address <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 <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 aRer submittal date. Required onsite,Construction Plans,Stormwater Plans wf Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)sel 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&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 consiruction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for lhe owner)would be someone with notarized letter from owner authonzing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIotlSurvey/Footage) <br /> Driveways-Not over CouMer if on public roadways..needs ROW � <br />