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�"-'�"'O°10 Git}�of Zephyrhilis Permit Application Fax-813-780-0021 <br /> 8uilding Department <br /> Date Rgc�ved <br /> Phone Contact for Permittfn <br /> �� � �� , <br /> Ovirner's Name Owner Phone Number �/e� '- �7- ,,7(� <br /> Owner's Address � �� J ONmer Phone Number �— <br /> Fee Simpie Titleholder Name Owner Phone Number �— <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS � ..� ���� ;S � '�`���� J`'� LOT# � <br /> SUBDIVISION PARCEL IDI� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CONSTR ADD/AlT [� SIGN [� Q DEMOLISH <br /> iNSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM C� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK _ SC U.��'/ ,� r�J ���1LaC���yi�,��-7- <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �� <br /> OBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � `�, � I �`�/ <br /> vG � <br /> QMECHANICAL � VALUATION OF MECHANICAL INSTALLATION <br /> OGAS [� ROOFING Q SPECIALTY �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> � �j <br /> PLUMBER � /� COMPANY / /Clt �n � ��(}� / �� <br /> SIGNATURE � (/� � REGISTERED Y/ N FEE CURREP Y/N <br /> Address � ( L�f O �����5 <br /> . License# C�G�f�f,� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� 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 /> Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGlities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Pla!�s 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,Constniction 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 construction. <br /> ���������,,.,����.,���...�.� <br /> Directlons. ' <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of applicallon,notarized <br /> If over i2500,a Notice of Commencement is required. (A/C upgrades over s7500) <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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />