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813-780-002C City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Co�tact for Permittin ( � v __ L�� <br /> Owner's Name (� EJ,�L' IY�e i; G�{� �jrnc,; Owner Phone Number - - ���� <br /> Owners Address 3 `�7Lj GO C -L' �c ;� �'%a� p�er Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �' � I Z ; ;IIS d'���`� LOT# 1 ��U <br /> SUBDIVISION �f�C�!�-S PARCEL ID# l�-� -a r-�a �-�v� � <br /> ' (OBTAINED F�pROPERTY T�TicE)DEMOLISH <br /> WORK PROP03ED NEW CONSTR ADD/ALT �� SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK C� !-�(.,� t- (�V f I G`��/ <br /> BUILDING SIZE � SQ FOOTAGE t � � HEIGHT �_ <br /> OBUILDING � <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING � <br /> �-�j MECHANICAL I �I �" <br /> �,:x� $ C,�� VALUATION OF MECHANICAL INSTALLATION � � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGiSTERED Y/ N FEE CURRE� Y/N <br /> Addreas 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 • N�O(,- )�r G .�/ /O/vf�c <br /> SIGNATURE REGISTERED Y! N FEE CURREP 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)woiicing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Aftach(3)complete sets of 8uiiding Plans plus a Life Safety Page;(9)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 8 1 dumpster.Site Wor1c 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 /> ��..��� ������„-�.������,��,.,���.�. <br /> � ��.a i a�a�.�ii� <br /> Directions. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement(s required. (A!C upgradea over:7500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter f�om owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applica8on Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />