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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> _. w<� <br /> Date Received, Q G one Contact for P In �� -- L/�/ <br /> hone Number ,� � � <br /> ` <br /> Owner's Name v ^ � � <br /> Owner's Address � O �7 �V l t ��I Owner Phone Number o!1 � <br /> Fee Simpie Titleholder Name t� jp a -��-30-�Ot�O��l�� 0 p�er Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS `� Q J L=- ' ' J LOT# � <br /> SUBDIVISION � ;� #� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1NORK PROP03ED B NEW CONSTR 8 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 � <br /> DESCRIPTION OF WORK �. C(,5(,(Y C •i S�K �� C.�a�'C �o� <br /> BUILDI G SIZE 3Q FOOTAGE� HEIGHT <br /> BUILDING $ ��O � VALUATION OF TOTAL CONSTRUCTION �" f(y(�3�lJ <br /> I ' <br /> �ELECTR�CAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> �� �T���� <br /> ��:��� � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION�� . <br /> . � rG� <br /> � ^ n ,d_ - <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER �"���` J� <br /> c�' � � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYE3-� 1 O � <br /> BUILDER ,'� �; � �` (�'� �i - � ♦ � COMPANY '� �S �� � ►►1 f� �f� � <br /> SIGNATURE W`-'� \..�l�l�'�- REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN �' � (��`t►'�"�'�r COMPANY <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 � �r ,��� /x,_ COMPANY <br /> SIGNATURE -�''�-'� L' �� 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 consUuction, <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 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. Requi�ed 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 consUuction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement fs required. (AlC upgrades over s7500) <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 />