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813-780-OQ20 City of Zephyrhilis Permit Appiication Fax-813-780-0021 <br /> Building Department <br /> `Date Received <br /> Phone Contact for Permittin _ <br /> Owner's Name a 5 5` ��/� Owner Phone Number �13 � O� <br /> `_ `" c � <br /> Owner's Address c� �� S J � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Slmple Titleholder Address � <br /> JOB ADDRESS LOT� �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CONSTR e 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 � Z _ -� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT �� <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� � �� � <br /> 3 $�'s? <br /> QGAS Q ROOFING Q SPECIALTY �] OTHER � '� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �t <br /> � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 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 ( � �G�J <br /> SIGNATURE REGISTERED N FEE CURRE� /N <br /> Address ( J ����'�" �G/f- License# � C ��� 3 �� <br /> OTHER COMPANY <br /> SIGNATURE 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 Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer 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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for ali new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW constructton. <br /> Directlons: <br /> Fill out application completely. <br /> Ovmer&ConVactor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AJC 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 shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />