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RA13-780-C^20 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> ' , Building Department <br /> Date Received � _ - <br /> Phone Contact for Permittin __ <br /> Owner's Name �� , �(�/� �G� Owner Phone Number <br /> Owner's Address �� �o ���S�i¢ /��, pvmer Phone Number <br /> Fee Simple Titleholder Name —� Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS f7 �Z '� � '�'a/-. Z�� �/�%GGS �L. 3��� LOT# ��� �.. <br /> SUBDIVISION v '� �p� (� PARCEL ID# a Z-2�-2� `d4�G�dD��'—C�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CoNSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE � SFR Q COMM �� OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTI N OF WORK %N6/�}LL /�/E�/ l��fl//�/���� �v'�� ���(�!-�/��t/� ���J��- <br /> BUILDIN SIZE � SQ FOOTAGE�� HEIGHT <br /> BUILDING St�` �., �9 � VALUATION OF TOTAL CONSTRUCTION <br /> ; __ <br /> QELECTRICAL $ AMP SERVICE Q P GRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ j �� <br /> /� �'�`� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLA <br /> QGAS ROOFING �] SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> BUILDER " COMPANY IAL��5 P���` � �yJ��fJ�`, %�/� <br /> SIGNATURE " REGISTERED Y/ N FEE C RE� Y/N <br /> Address License# �— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP 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)woiicing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Pians 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 Plans,Stormwater Plans w/Silt Fence instailed, <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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over s2500,a Notice of Commencement is required. (NC 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 PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />