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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin �l3 ,Z ' - �� <br /> Owner's Mame ( Y� ca�•,� � Q T�wv�SBy. Owner Phone Number <br /> Owner's Address ,S C �Sj S-}_ Owner Phone Number � <br /> Fee Simple Titleholder Name � j U,,,. ,c 01� �Uw�F� �— <br /> Owner Phone Number <br /> Fee Simple Titleholder Address S 1 ��p C t�P.rS S'f: z2 � �--�;j�s Yc, 335�/ <br /> JOB ADDRESS S �f"b C (�e� �'�. ZP � ���,"Its� �'2,. 33SN z LOTl� � <br /> SUBDIVISION CO��n./ f�f�,U,I�.I PARCEL ID# / - — � �6 O"�1�QO�- ��/O <br /> � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> lNORK PROP03ED B NEW CONSTR 8 ADD/ALT � SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> �ROPOSED USE Q SFR Q COMM � OTHER A �. � <br /> TXPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �A� �r,2 S�•.�+r ��.� � �j C��' �' � � �(�jtt 5 S��,,,e�- s'e r,,,!'�� <br /> BUILDING SIZE SQ FOOTAGE I �� HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> LUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER IUp�.,..� � C�tr�--�- COMPANY CUff COh�I'(.�c�( S�eri^/2-a-1' �wC� <br /> SIGNATURE ������ � REGISTERED Y! N FEE CURRE� N <br /> Address License# —� <br /> MECHANICAL COMPANY <br /> 51GNATURE 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# —� <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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 8 1 dumpster;Site Work Permit for subdivisfonsllarge 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,Conshuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new projects.AII commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERT'Y SURVEY required for all NEW consVuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />