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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> - � <br /> 1 <br /> - Date Received Phone Contact for Permitting � 3 /d l� — �� T" � <br /> Owner's Pdame Owrner Phone Number <br /> Owner's Address � Ou�mer Phone Numbec <br /> Fee Simple Titleholder fVame Owner Phone Number <br /> Fee Simple Titlehoider Address <br /> JOB ADDRE�S 6130 17�. ST �oT# � <br /> su�uidisior� PARCEL ID# 02-26-21-0180-00000-0250 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> MIORK PROPOSED � N TALLSTR e REPAIR � SIGN Q Q DEMOLISH <br /> �� r <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> NPE OF COtdSTRUCTIOId Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIOM OF VMORK 4' CHAIN LINK FENCE WITH DRIVE GATE AND 2 WALK GATES <br /> �UILDIPlG SIZE S('a FOOTAGE (� � FEEIGHT FT. <br /> �BUILDING �1,']90.00 VALUATION OF TOTAL CONSTRUCTION J <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �/��� <br /> � ;� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION + <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER /� 1 COAAPANY PASCO FENCE COMPANY INC <br /> SiGfdATURE � �/`� � REGISTERED Y N FEE CURRE� Y N <br /> Address License# <br /> ELECTRICIAM COMPAIdY <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUIM�ER CONi�AMY <br /> SIGIdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> F�JECHAMICAL COMPANY <br /> SIGfdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGMATURE 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,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facllities 81 dumpster;Site Work Permit for subdivisions/large projects <br /> COMIMIERCIAL Attach(3)complete sets of Build(ng 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.Ail commercial requirements must meet compliance <br /> SIGtd PER{MIT Attach(2)sets of Engineered Plans. <br /> ••`•PROPERTY SURVEY required for ali NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over S2500,a Notice of Commencement is required. (AlC upgrades oeer�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 shingies Sewers Servic,e'Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs RO1N <br /> . <br />