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ai$aso-oo2n City of Zephyrhilis Permit Appiication Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> ' Phone Conta r Permittin __ <br /> Owner's Name Owner Phone Number <br /> Owner's Address J Owner Phone Number � <br /> Fee Simple Titleholder Na Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS , LOT# �� <br /> SUBDIVISION PARCEL 10# �, <br /> (OBTAINED FROM PROPERTY TAX NOTICE) /� <br /> WORK PROPOSED B NEW CONSTR 8 AOD/ALT �� SIGN Q Q DEMOIISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR O COMM � OTHER [-- <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE �- SQ FOOTAGE�� HEIGHT �� <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �l "� `3U <br /> QGAS Q ROOFING Q SPECIALTY Q 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 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 ense# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED / N FEE CURRE� Y/N <br /> Address � License# C <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 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 Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERM�T Attach(2)sets of Engineered Plans. <br /> '*"'PROPERTY SURVEY required for all NEW consUuctlon. <br /> Directions: <br /> Fill out application compietely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement ia required. (A/C upgrades over 57500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone w(th notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles 5ewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />