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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department I <br /> _ . -� . <br /> Date Received <br /> Phone Cont ct for Permitting - <br /> Owner's Name X�V Owner Phone Number <br /> Owner's Address Ow►ner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleho.ider Address <br /> JOB ADDRESS - LOT# � <br /> ' <br /> SUBDIVISION � PARCEL ID# <br />- ------------- . - - ---- <br /> - - -_=- - --- —--- — —(OBTAItdED FROM PROPERTY-T�AX-kUTIGE)-- ----- <br /> MlORK PROPOSED �e N TALLSTR B REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED U§E � Q SFR Q COMM Q OTHER <br /> T1fPE OF CONSTRUCTIOM Q BLOCK Q FRAfVIE 0 STEEL Q ' <br /> I DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT . <br /> QBUILDING $ Q VALUATION OF TOTAL CONSTRUCTION <br /> (J <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FIfVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> i <br />� <br /> BUILDER COMPANY <br /> SIGfdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE � ►te�IS�Reo 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 />� AAECHANICAL 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 /> Mfnimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflities 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 Pertnit for new construction. <br /> Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciUties&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGM PERMIT Attach(2)sets of Engineered Plans. <br /> ""•PROPERTY SURVEY required for all NEW constructlon. � <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement(s required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone wlth 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 />