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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Buiiding Department <br /> Date Received � � I� � L�� ` � � ` � <br /> Phone Contact for Permitti -- <br /> -- - <br /> r r r�-�-r �T - - T�r <br /> Owner's Name �- � �� Z ����"� � �-�� Owner Phone Number <br /> Owner's Address ��� X N ' W�%.S � C� � �Owner Phone Number C <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �� � �� � v� I V�tJ (' � LOT# �� <br /> CfF d� /a� <br /> SUBDIVISION �— � PARCEL ID# � 1 'a 6 _a! -DQ�o -J�1 Gi7 O�l S� <br /> (OBTAINED FROM OPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN � Q DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK I .ST fE- � Ll�l`�' � N��"' f L ''�'� � �r <br /> BUILDING SIZE � SQ FOOTAGE�� HEIGHT C <br /> BUILDING � � n� VALUATION OF TOTAL CONSTRUCTION <br /> u <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ (�, ���� <br /> l!/ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION v I 5 l �� <br /> � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> . . . �_� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N fEE CURRE� Y/N <br /> Address License# �— � <br /> _ ____ <br /> ELECTR N � � COMPANY �I` �'t �/ ' <br /> SIGNA E } � REGISTERED Y/ N FEE CURRE� Y/N <br /> ddress License# � � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# �— � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> OTHER �\1i COMPANY �-�Ibl'�Fh� �ANt4C,v d��.v����S�1N� -L/�= <br /> SIGNATURE �-v ��'t� REGISTERED / N CURRE� Y/N <br /> � �` FS���6S�c� <br /> Address l� (�.SS •V � �Q�+'��" � License# r <br /> Illllllllllllllllllllllllllllltlillllllllllllllllllllllllllllllllll <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 Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIA� Attach(3)compiete sets of Building Ptans 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 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 /> ■ ■ • • ■ ■ .■ • .■ ■ .l ■.■ �_ ■ l..l_J__1_Ll. • <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application, notarized <br /> If over 52500,a Notice of Commencement is required. (A!C upgrades over$7500) <br /> ** Agent(for the contractor)or Power of Attorney(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 />