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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received, � �/ y _ <br /> � Phone Contact for Permittin �/ � __�'� <br /> Owner's Name � c{yn Owner Phone Number ' ��— '� <br /> Owner's Address �� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS (v,�� Ly�� ,.� � � <br /> LOT# <br /> SUBDIVISION � a PARCEL ID# ---��� —('�j�-�� �, <br /> (OBTAINED FR�OM PROPERTY TO TicE)DEMOLISH <br /> WORK PROPOSED e NEW CONSTR ADD/ALT � SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL � <br /> DESCRIPTION OF WORK � �w�,��I�,�s �;•� �� �� �� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> BUILDING $ �� <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. <br /> �PLUMBING $ <br /> /C �u� v <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY C] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ��YES NO <br /> BUILDER � MPANY <br /> SIGNATURE L'�✓G� ,'` <br /> S l C ISTERED Y/ N FEE CURRE� Y/N <br /> Address 7 � � � '"— >jG i(' License# �� (���r C,/� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE ReGIsrERE� Y/ N FEE CURREP Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> 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 /> Add�ess <br /> 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)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Sllt Fence installed, <br /> Sanitary Fadlities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Aftach(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,Stortnwater Plans w/Silt Fence installed, <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 ali NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&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)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 />