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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Si � 5 __ � <br /> '� � Phone Contact for Permittin � <br /> Owner's Name ��'V� (�- � �AJ Owner Phone Number <br /> Owner's Address � � l.1"'�5 �(J y� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Addreas <br /> JOB ADDRESS � S •�J LEJ SNM LOT# '" 'I�' <br /> SUBDiVISION �RAIJ(����O550h1 �EL ID# )s'�6•�-�-0)7 "�JQ�^ QpRO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED e NEW CONSTR B ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �V��j � '��� `f�-��1D <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT �] <br /> QBUILDING � �� VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> o � I��`� � �c1-� <br /> PLUMBING $ � <br /> �; a .:� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �)� �� ; / <br /> �� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER ;��� !_� �� <br /> � �L� � <br /> FINiSHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO , �ul � <br /> BUILDER � ,OMPANY �� �O V <br /> �„�,� �� �f�D 5 , �- <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address ,� � Y�' 3 3��a License# � ��Z') <br /> ELECTRICtAN 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 I N FEE CURRE� Y/N <br /> Address 'cense# � -� <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURR 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)worlcing days after submittal date. Required onsite,Construction Pfans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 Pertnit for new construction. <br /> Minimum ten(10)working days after submittai date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facitities 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 consVuction. <br /> Directlons: <br /> Fill out appiication completely. <br /> Ovmer 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement ia required. (A!C upgrades over ET500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />