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s�s-�eo-oazo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Buitding Department <br /> Date Received �—�6 --� � <br /> Phone Contact for Permittin __ <br /> Owner's Name ��� S v��s Ov-� Owner Phone Number <br /> Owner's Address l �C�` �e. Owner Phone Number <br /> Fee Simple Titlehoider Name Owner Phone Number —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7 33( �1� (. LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FR�OM PROPERTY T�riCe)DEMOLiSH <br /> WORK PROP03ED NEW CONSTR ADD/ALT � SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL Q <br /> DESCRIPTION OF WORK �'�"10 � �o�� ��-. b�l�Q �,� <br /> v� <br /> BUILDING SIZE � SQ FOOTAGE �6 lp(� HEIGHT <br /> �UILDING $ <br /> �� �(�� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY C] OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> BUILDER � —^ �— COMPANY � 0�7�l��tT�(�(. S . <br /> SIGNATURE REG�STERED ;y�t y/ N FEE CURRE� Y/N <br /> 'r ����. <br /> Address `T� p�y^ dpt q P�..��a�° License# ( CG�G l�zoYoO 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 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 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 /> Minimum ten(10)wo�icing days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisfonsRarge 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&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 /> T71PIIf111111�f1111�11111��1 <br /> Directlons. "'""''''"' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over E2500,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 Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />