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eis-�ao-oozn City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �-��_� �/� Q�� - <br /> Phone Contact for Permittin p _ 7��Q <br /> Owner's Name Owner Phone Number p � � �'js��Q <br /> Owner's Address �7S�� Iv�l,t� O,e!Zp,� �„�,,� p�er Phone Number -� <br /> Fee Simple Titleholder Name Owner Phone Number -� <br /> Fee 3imple T(tleholder Address <br /> JOB ADDRESS (� �1 �p,erZorVS z-JO LOT# �•� <br /> SUBDIVISION ��4A1'��fo�12t1W/�j��I PARCEL IDllf ��'-�-a2I-C�Q-�Q- d]�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT [� SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME C� STEEL Q <br /> DESCRIPTION OF WORK �� (�J�12 S ��JC3(�g u}�y-H. ![�F�p� Z-77qL �p�L.�,�,J <br /> BUILDING SIZE SQ FOOTAGE `�� HEIGHT <br /> UILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ � AMP SERVICE [� PROG ESS ENERGY <br /> �] W.R.E.C. <br /> QPLUMBING $ �( �Y� <br /> � , � ��_� ._ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATI � /�r(J � <br /> QGAS .R9E�FNsLC- -� - -�PECIALTY [� OTHER <br /> FINISHED FLOOR EL '�ATIONS �+ /��c'�p F�O�ZONE AREA QYES NO <br /> 4� <br /> _�= <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# � � <br /> MECNANICAL �OMPANY <br /> SIGNATURE EGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address � ' License# <br /> OTHER ;'r COMPANY �/e/P(,Er L�!► 2�IGi�rj �iC/L <br /> SIGNATURE ��� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address O �vy7 0� tc ` fC 3�Q License# G<< ��'�1 �7�� <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)woiicing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflities&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. Requtred onsite,Construcdon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facitities 8 1 dumpster.Site Work Permit for alt new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out applicatfon completely. <br /> Ovmer 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over:7500) <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 Appflcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />