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813-780-002C1 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin ��,� 7� __ �� <br /> Owner's Name � ,ff � Q `� �j�^ ,� <br /> Owner Phone Number 7 ��6�7 <br /> Owner's Address 3�' 7 S T �V� � <br /> Owner Phone Number <br /> Fee Simple Titleholder Name —� <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� <br /> LOT# <br /> SUBDIVI310N PARCEL ID# <br /> WORK PROPOSED e (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NEw CoNSTR ADD/ALT [� SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM <br /> TYPE OF CONSTRUCTION � BLOCK � OTHER <br /> [� FRAME C7 STEEL O <br /> DESCRIPTION OF WORK e, � � T t�i//�l <br /> BUILDING SIZE � $Q FOOTAGE <br /> HEIGHT <br /> OBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE <br /> � PROGRESS ENERGY [� I�V.R.E.C. <br /> QPLUMBING g <br /> MECHANICAL $ , md �1 � <br /> �ZOD VALUATION OF MECHANICAL INSTALLAT N � � ` <br /> GAS � <br /> � [�] ROOFING Q SPECIALTY � OTHER - <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> QYES NO <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> License# <br /> ELECTRICIAN <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURREA Y/N <br /> Address <br /> License# � <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL � .._.-_-. � ;s f,°!.p q,r� G�AS .�C <br /> SIGNATURE ' COMPANY <br /> REGISTERED Y/ N FEE CURREA Y/N <br /> Address <br /> License# �Q�O f� <br /> OTHER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# �- <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles 8 1 dumpster;Site Work Permit for subdivisions/large 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. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit tor 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 /> Direcdons: <br /> Fill out applicaGon completely. <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over 52500,a Notice of Commencement is required. (A!C upgrades over a7500) <br />" Agent(for the contractor)or Power of Attomey(for the owner)would be sameone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of AppHcation Only) <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs RbW <br />