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s,�-��u-vuzra City flf Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> » Phone Contact for Permittin -- <br /> Owner's Name � j l ' r � Owner Phone Number �Q q - - `�3 <br /> Owners Address 3� (, Q `"� � � 6'i-'V'�'_ Owner Phone Number <br /> Fee Simple Titleholdcr Name Owner Phone Number —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S� �� LOT f! � <br /> SUBDIVISION —� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALI REPA�R <br /> PROPOSED USE SFR COMM � OTHER ' ,,,,..c,,r °, ,,� ,r. <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �-�� c�� I' .��J w e,,� �^C"o�� � �2�p��� ��(,�-.l���� <br /> BUILDING SIZE SQ FOOTAGE � �-O +� HEIGHT � ( � <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING a p t <br /> � - <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <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 /> PLUIIABER COMPANY � '/ � +����'�`--' <br /> SIGNATURE ��v�—� , U 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# r � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r <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 aRer submittai date. Requlred onsite,Conshuction Plans,Stormwater Plans w/Silt Fence i�stalled, <br /> Sanitary Facllities&1 dumpster;Site Work Permit for subdivisionsflarge 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)woricing days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Sfit 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 consVuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Co�tractor sign back of appiication,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over 57500) <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 (Frontof Appiication Only) <br /> Reroofs ii shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />