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8�3-�8o-oo2c City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receiv�� ,��3 � Z __ s o�,3 <br /> Phone Contact for Permittin <br /> Owner's IVame � � � Owner Phone Number /� �,37�' jp�� <br /> Owner's Address J� a /J� �� � `��S�j9 pwner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �J �I> � ��I� C• h j� G � � LOT� �� <br /> SUBDIVISION PARCEL ID# /a-a� � ��'�J��-�� e�z <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT �� SIGN �] [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL Q � <br /> � <br /> DESCRIPTION OF WORK /j�p�f� �— �,,o /Q.�:� � U �. lI�7 d��� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> , � �r�,� <br /> [�MECHANICAL $ � '9�D, D VALUATION OF MECHANICAL INSTALLATION � <br /> d <br /> OGAS Q ROOFING Q SPECIALTY � 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 ReGis�Reo Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Lfcense# � <br /> MECHANICAL � COMPANY �/'�/�2 �$ f}j�f L! �.� � �� <br /> SIGNATURE C�� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# f}L°'Q �„��' Lj�-(Cj � <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)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Bufiding 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 alt new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"'"PROPERTY SURVEY required for all NEW construcUon. <br /> � 9�ii����r�n�e,�r����.��.�� <br /> Directions. "�'�`�' <br /> Fill out applicatlon completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over S2S00,a Notice of Commencement is required. (AIC upgrades over:7500) <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(PIoUSurvey/Footage) <br /> Oriveways-Not over Counter if on public roadways..needs ROW <br />