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813-780-Q02Q City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received _ �J� ._ �� Z - <br /> �� Phone Contact for Permittin .. �� <br /> _. �,."� � . ._ <br /> Owner's Name �° c-if'�f �J�C1,,S t'j,,Q��' C,���,��I��;;?!qj pWner Phone Number <br /> � <br /> Owner's Address � ��U � ,� "T, Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS O �' �T''� �', �� <br /> LOT# <br /> SUBDIVISION PARCEL ID# O 2- �6 2, J/� � �Q� �� �� "� <br /> � (OBTAINED FR�OM PROPERTY T�ricEl DEMOLISH <br /> 1NORK PROPOSED e NEW CONSTR ADD/ALT C� SIGN <br /> INSTALL REPAiR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TXPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL Q <br /> DESCRIPTION OF WORK /L�COI/(=/L_. /1/g �G�7 /��C_° U/l Z G �LI�,G' � <br /> BUILDING 51ZE SQ FOOTAGE� HEIGHT � <br /> OBUILDING $ �'/D� <br /> 7 VALUATION OF TOTAL CONSTRUCTION <br /> _ <br /> QELECTRICAL $ AMP SERVICE O PROGRESS ENERGY�� Q W.R.E.C. �, <br /> ,, <br /> OPLUMBING $ � ' <br /> /� �f <br /> QMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION �/' ��� <br /> � ",�,�, <br /> OGAS ROOFING SP �� � <br /> 0� Q ECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS ' .--'='° <br /> � FLOOD ZONE AREA �YES O -~ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN 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 COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> OTHER .�� �- �v..—..-- COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address v ��X l�(o� ,�E L��N �� License# OU 6� <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,Construction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities�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. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.Ail commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> rr�ie����r����������������.� <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)wouid 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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubfic roadways..needs ROW <br />