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813-780-OQ20 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received phone Contact for Permittin � 2 __ sZ � <br /> Owner's Name Owner Phone Number � � z3 <br /> Owner's Address 0 �Y�p Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � -� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �t Q'� cjy �p�( �� `l �(` LOT� � <br /> SUBDIVISION �t1��Q�f `'�,��� PARCEL ID# ��.'Z�p'2 � ' b L�D� O(��C�� •OI�DO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � � � <br /> BUILDING SIZE SQ FOOTAGE ��"I v� HEIGHT �� <br /> QBUILDING $ ��OQ� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ / <br /> n�� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /�U <br /> ���3y <br /> OGAS Q ROOFING �, SPECIALTY 0 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 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 Lfcense# � <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N ,._FEE&llE2.RE� Y <br /> wr,..,.._ � <br /> Address Licen <br /> OTHER COMPANY VGIY�Z Ra0 ` <br /> SIGNATURE REGISTERED FEE CURRE� Y/N <br /> Address � 2� �C,S�y�( O d� 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 Facilitfes 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Bufiding 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. Requ(red onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 constructlon. <br /> Directfons: <br /> Fill out applicaHon completely. � <br /> Owner 8 Contractor sign back of application,notarized <br /> If over;2500,a Notice of Commencement fa required. (A/C upgrades over 57500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicallon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drfveways-Not over Counter if on public roadways..needs ROW <br />