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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting - <br /> OwnePs Name Owner Phone Number <br /> Owner's Address � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple T(tieholder Address <br /> JOB ADDRESS . �3� LOT# � <br /> SUBDIVISION r PARCEL ID# ��-l" - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) • <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTIOM Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK — <br /> BUILDIPlG SIZE SQ FOOTAGE� FIEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R:E.C. <br /> QPLUMBING $ �1 � � <br /> I� <br /> [�]MECHANICAL $ O VALUATION OF MECHANICAL INSTALLATION � � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER r <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �r���1 <br /> K, <br /> BUILDER COMPANY <br /> 51GIdATURE REGISTERED Y/ N FEE CURRE� Y/N . <br /> Address License# <br /> EL.ECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMlBER COMPANY <br /> SIGNATIIIZE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IVIECHANICAL /�L COMPANY � <br /> SIGMATURE -"/ REGISTERED Y N FEE CURRE� Y/N <br /> Address License# � �l(v /�� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ItESIDE1dTIAL 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 Plans w/Silt Fence installed, <br /> Sanitary Facflities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> - COIUIMERCIAL Attach(3)complete sets:of Buiiding 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,Constructfon 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 /> SIGfd PERMIT Attach(2)sets of Engineered Plans. <br /> •'""PROPERTY SURVEY required for all NEW consVucUon. - -- .___. <br /> Directions: <br /> Fill out application completely. <br /> O�nmer&Contractor sign back of apptication,notarized <br /> If over 52500,a Notice of Commencement is requlred. (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 PERMI.TTING..:�,_W.(Front.of Applica6on,Only,)_� •; - .-�-: yy �� ,,; ,.,.,,. _ "",,:.� <br /> i' ..'t.7�::•.; i�;f;� :;v r <br /> Reroofs if shingles Sewers„r .-,•Service�l.pgrad�es•A/�:;���% ��Fences(Plot/Survey/Footage) i _ ' ° . '" ` _"'�' ,:. <br /> i i!- �4 �7[' ..-. . 4r �. f., F t : . � : [ �.•.�'1?:4'i'_'i . . .y '. t <br /> . r I<<:." i�.1 �� <br /> Drive�nrays-Not over Count'er`if on�pGbliC Po�dway's:`.'heeds R01N � ti r`-- •r' '' �?, ,-�:�";!� �" ,, 4 <br /> } \IQ::.u( TE':i,?��%1 -_i;iri'�:_i .`;.,, ^;.'•���'� ' �. ..._...n.�`'�p.�r.}:,r`�_`'.r:.`'... '` _.,; t <br /> .:°.r; � � 9t,-,R::'P�,.____.�._....°_`i`' <br /> i:[�� ,'�1141 E <br /> � t��� :�vt:r%'k'7r,; -."ir:i�1 �:i:f�Ri�:.(T�.i{.� . . ...... <br />