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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> < Building Department <br /> Date Received <br /> Phone Contact for Permittin __ <br /> �� C <br /> Owner's Name � � > Owner Phone Number <br /> Owner's Address S�j `J b�� Owner Phone Number —� <br /> Fee Simpie Titlehoider Name Owner Pho�e Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �C� " � LOT# C� <br /> �J <br /> SUBDIVISION �— PARCEL ID# I "'��P�� � �b���'6U%O b --G��p <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> MlORK PROP03ED B NEw CONSTR 8 ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> T1fPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK OQ? Ct 1 � `"�� �' /.{'�' <br /> � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ �� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> Gv� � a2��'D <br /> OPLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY 0 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 � /�-C� <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 <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# <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 Facilities&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 const►uction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,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 consUuctlon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over i2500,a Notice of Commencement is required. (A!C upgrades over E7500) <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 PERMI7TING (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 />