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8�s-�ao-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin .._ <br /> Owner's Name '� D • ,�e ( t,e Owner Phone Number 2�-���b�' Q/9,� <br /> Owner's Address lo �� Z� � !i -' � Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS V I�I Z� � ,� ,�� LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CONSTR 8 ADD/ALT 0 SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR a COMM � OTHER �— <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � 1 1�I� G�� ���� Q � <br /> BUILDING SIZE � �FOOTAGE 3�I HEICsHT � � <br /> QBUILDING $ 2Q'QQ d U VALUATION OF TOTAL CONSTRUCTION <br /> r <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QP�UMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /,S-"U ,3 `� <br /> [ <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUtLDER COMPANY � � <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �•,Sd �t ,S' �c�� L/l/ License# C —� <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# � —1 <br /> OTHER COMPANY <br /> 31GNATURE 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 construcGon, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Conshuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGlities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buiiding 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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities S 1 dumpster.Site Wor1c 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 consUucdon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over s7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter f�om ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs it shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />