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813-780-002C City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> . Building Department <br /> aate Received Phone Contact for Permittin '�"� _ <br /> Owner's Name �.i'G(1'1�QY1-P GC �(;�; Owner Phone Number U��j '^ �� "�� � <br /> Owner's Address ��c3�� `�—=� /yCre Z� Owner Phone Number � <br /> Fee Simple Titleholder Name � Owner Phone Number � � <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS E LOT# � <br /> SUBDNISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM O OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �t C ��?� G�L-C,�'` � ~� Z � .S Sr�-c/" .-,� <br /> BUILDING SIZE —� SQ FOOTAGE� HEIGHT �� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ e� VALUATION OF MECHANICAL INSTALLATION �C \�� �� <br /> 4iSGa — <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTEReo Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL — COMPANY /"J ty � G ��' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� ��c3 ��ZG 3 �) License# ���!����� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addres License# � <br /> RESIDENTIAL A (2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W PeRnit for new construction, <br /> Mini�ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instal�ed, <br /> Sanftary Facilities 8 1 dumpster;Site Work Permit for subdivisionsAarge 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 /> Minim �n(10)working days afte�submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> S ry Facilities&1 dumpster.Site Work Permit for atl new projects.All commercial requirements must meet compliance <br /> SIGN PE IT - ch(2)sets of Engineered Plans. <br /> *"PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out apptication completely. <br /> Ovmer 8 Contractor sign back of appliqtion,notarized <br /> If over s2500,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(Plot/Survey/Footage) <br /> Drfveways-Not over Counter if on public roadways..needs ROW <br />