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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-002'0 <br /> Building Department <br /> Date Received "'� " <br /> , „� Phone Contact for Permittin �!.= ]oZ� -- ���; <br /> Owner's Name �/!'�'� � ��'i f�iv_a Owner Phone Number �/,'� - /�� ".�(i �(�' <br /> ��- -� - � <br /> Owner's Address -% -7�G� � J� Owner Phone Number <br /> Fee Simple Titleholder Name /'l�/f=J/L` J�:.,Lf�( ] Owner Phone Number � <br /> Fee Simple Titleholder Addresa > J���� � �� ��. G C=-�f�1�`�f����S lr• ��✓� � .Zi <br /> JOB ADDRESS .'�,��G L � �r , . - f/Z %�'f /L� � � - LOT# � <br /> SUBDIV1510N i� ����" !�1-; PARCEL ID# �"o� ' '� " �l��C-� ' ��!��'-- ��l_`�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1NORK PROPOSED � NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK r� � ��L'L'� <br /> BUILDING SIZE SQ FOOTAGE ��� HEIGHT ] <br /> OBUILDING $ j"" �p VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION •�� � � � � <br /> OGAS �� ROOFING Q SPECIALTY 0 OTNER Z�1 ((�/� <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 Re�isrEReo 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 �-�/�`�/�i0�1�'��i��t ' �'!2�'S ��.C� �('� <br /> SIGNATUR ' 'f eReD Y/ N FEE CURRE� Y/N <br /> Address" ���_`� R ��/itlG- i' F- License# � � �7 <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,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities&1 dumpster;Site Work PeRnit for subdivisionsAarge proJects <br /> COMMERCIAL Attach(3}complete sets of Buildfng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consVuction. <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 Permft 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,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 Oniy) <br /> Reroofs if shingles Sewers ,Servi�g Upgrades A/C Fences(PIoUSurvey/Footage) <br /> ,4..:., . :', <br /> Driveways-Not over Counter if on public roadw�ys..�teeds ROW - {,,,�, �4 <br /> . . �k. • . <br /> �J., <br /> .t,., :� . <br />