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a�a-7ao-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recei�ed <br /> Phone Contact for Permittin __ <br /> Owner's Name Dn� nl � Owner Phone Number ! � y(�d <br /> Owner's Address � j � �J r Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number -� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �� C /e/ e- � Y LOT# � <br /> SUBDIVISION �1��/C� � � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN 0 [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR O COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK (/ � �� ?j <br /> BUILDING SIZE � SQ FOOTAGE ` Co %C/ HEIGHT � <br /> QBUILDING $ /DQ�,n VALUATION OF TOTAL CONSTRUCTION <br /> C9 l/ <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANfCAL $ VALUATION OF MECHANICAL INSTALLATION l �` �� <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER ���` � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE U REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE RecisrEReo 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 /> Add ss License# � <br />�n�Cv c,�G <br /> OTHER �,J� �/ /� �/ COMPANY f �[7 '�� �h�Cv'L <br /> SIGNATURE �V v" � ,Y � � �� REGISTERED Y I 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 construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facitities&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 /> 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 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 construction. <br /> Directtons: <br /> Fill aut application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC 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 AppHcation 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 />