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813-780-00?_0 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �_����� n �� f��i <br /> Phone Contact for Permittin �-C 4� <br /> Owner's Name !�-vU ts Owner Phone Number <br /> Owner's Address 5 �t 1�J� � j ze �n ,- �n��,�5 �j�" �Z pymer Phone Number � <br /> Fee Simple Titieholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��w1 C LOT# �� <br /> SUBDIVISION PARCEL ID# - _ _ 1�_ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) �a <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN � Q DEMOLISFf �S���` d <br /> INSTALL REPAIR <br /> PROPOSED U5E � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK 11,��Cr � � I� y� � �-q, � �r� � <br /> c <br /> BUILDING SIZE SQ FOOTAGE L' ,� HEIGHT <br /> OBUILDING $ • �� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ _,, �iJ� <br /> ��V <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOO�ZONE AREA QYES NO <br /> BUILOER � i � �COMPANY �LC aE'i�✓1 L� C <br /> SIGNATURE 1 REGISTERED Y/ N FEE C RE� Y/N <br /> Address � l 5 P o � � � �� 33 5 Z 4 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 � � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP 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 construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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,Constructfon Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compUance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW constructlon. <br /> Directlons: <br /> Fill out application completeiy. <br /> Owner 8 Contractor sign back of appiication,notarized <br /> If over 52500,a Notice of Commencement ia required. (A/C upgrades over=7500) <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 shingies Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />