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sis-�eo-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received" — 1��-j Phone Contact for Permittin __ <br /> Owner's Name �A�rr� A �-� Owner Phone Number <br /> Owner's Address �7 �"�`1 oiJl/�S A� W�"� ��v`� Owner Phone Numbe� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS l �! � / �� �I LP �</� �� ,3��2 LOT# ��'�2- <br /> SUBDIVISION �— —� PARCELID# � �� ~Z( � �j�' �.f�0°' � 2- �� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1NORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK C � ° N C�'�� � <br /> BUILDING SIZE SQ FOOTAGE � ��v HEIGHT <br /> BUILDING $ -�J��� VALUATION OF TOTAL CONSTRUCTION <br /> / <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OP�UMBING $ <br /> �i�t ��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER �7 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO C� L <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 I N <br /> Address License# <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 �) � �� G���O� /'� �� � 33 ^Y� License# �-�� �3°�g° 7 / <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consVuction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buildfng 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 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 cansVuctfon. <br /> Directions: <br /> Fill out application compietely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requtred. (A/C upgrades over 57500) <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(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />