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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date R�ceived� <br /> Phone Contact for Permittin __ <br /> Owner's Name I�� ��J��'�o C� Q tl� G.. Owner Phone Numbe� 3 � 3 3 - �,o � <br /> owner's Address � �' � 6 � � 1��' S'�. 2 e r h y r ki(�� F1- 3.�'�2 <br /> Ovmer Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS -3 $ S�^Z '� �� d�✓Z= Z � r� ly" +P'� .�35`+r'�- LOT# �� <br /> SUBDIVISION PARCEL ID�! 1 � Z� — 2 1 — o �0�G �- �o�y o Q,,�fl�7 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED NEW CONSTR ADD/ALT � SIGN Q [� DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME C� STEEL � <br /> DESCRIPTION OF WORK KC y at¢ M�S,J'i�`y� „v�r;,^ �� _r �v�. ��J t:�,��'s 1y.e �� Jc�r��,\1�S W1 <br /> BUILDING SIZE � SQ FOOTAGE HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> [�ELECTRICAL $ ,�i y qa �,� AMP SERVICE � PROGRESS ENERGY �] W.R.E.C. <br /> QPLUMBING $ � <br /> 0 <br /> �� <br /> OMECHANICAL $ VALUATION OF MECHAN�CAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY [_] OTHER ( �/ � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO {-t � 5 (�� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> ELECTRICIAN COMPANY �Z2��, �I��c���c�j ���}, 1�t , <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �3'��' ts ��p�,� �, License# Ec: �3�d �;3� <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 CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fonns;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 Fadlities 8 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)working days after submittal date. Required onsite,Construction 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 /> 77��e�������r����ee�����.�i� <br /> 1 LLi.LIJJJII 1 11 <br /> Directions. <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C 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 (Front of Application Only) <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />