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813-780-002Q �ity of Zephyrhilis Permit Appiication Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permlttin __ <br /> Owner's Name �'�C"'��Y�� (� p C� � /� U <br /> Owner Phone Number l��� " �e�� '"lp� � � <br /> Owner's Address r ��j � �J��'+o( f"L Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � t S �n'�� LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> C� �OBTAINED FR�OM PROPERTY TQ TicE)DEMOLISH <br /> VYORK PROPOSED NEW CONSTR ADD/ALT SIGN <br /> INSTALL 8 REPAIR <br /> IPROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK '` �"�� �UC�C� ���C� G.�7 3 X <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT � <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERViCE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � �/; �� <br /> ,�^ �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �t <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 CURREA 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,Constniction Pians,Stormwater Plans wl Silt Fence installed, <br /> Sanitary FaciNties 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)wmplete sets of Build(ng 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 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 construction. <br /> �,.,.—„�����.�:��:��.,����,��.��,...� <br /> + �a+.La I J I IJ <br /> Directlons. <br /> Fill out application completely. <br /> Owner 8 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 PERMI7TING (Front of Application Only) <br /> Reroofs ii shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />