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893-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin -- <br /> Owner's Name ( �-�-l� � i.._ Owner Phone Number ��-- - <br /> Owner's Address 1 � � �.. p� • ,�,��Ow�er Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ZTv Y F GQ �� <br /> LOT# <br /> SUBDIVISION PARCELID#� U�,-�, —�...� �-' n�lfj("1 .�nfl� �(��_ dl-Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PRUPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK Ly1/ {\1�o"C %I � <br /> l� 1 ��P/�l\(�..�?_ <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 /> QPLUMBING $ <br /> OMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION 1��� <br /> % Gl3O <br /> QGAS Q ROOFING Q SPECIALTY v�] OTHER PY(yC'�G r �Y�C�- � ' .,,9� �-- �t/`�,� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO C�w <br /> �-�G�C� <br /> BUILDER COMPANY <br /> SIGNATURE EGisreR Y/ N FEE CURRE� Y/N <br /> Address ���� d� 1 � `, (,� License# � �� <br /> ELECTRICIAN COMPA <br /> SIGNATURE REGis�►teD 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/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE . REGISTERED Y! N FEE CURREA Y J N <br /> Address License# <br /> RESIDENTIAL Attach(2)Ptot 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. Requfred onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitfes 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 Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructfon 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 constructlon. <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. (AIC upgrades over E7500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter thonz n ame <br /> �'9.4^�,x..,.4�.,. ....r,k� � <br /> OVER THE COUNTER PERMITTING (Front of Application Only) • r� �„ , x ` � � <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) � �, �+ ; ..' Y '' � <br /> � � ,, <br /> Driveways-Not over Counter if on public roadways..needs ROW �. ; ,, <br /> . � <br /> c._.. .. � . .. ... . .. .. .. . .. .,,.., <br />