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\ <br /> -" 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> i <br /> Buildin Department <br /> Date Received Phone Contact fo Permittin -- <br /> Owner's Name % , /r OvHner Phone Number � — '—� � <br /> / i (; <br /> Owner's Address D( f�' E Ouvr►er Phone Mumber � � ��- 7� <br /> Fee Simple Titleholder Name ' Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � / � - l , LOT# � <br /> SUBDIVISION PARCEL ID# � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> HNORK PROPOSED B NEW CONSTR e ADD/ALT [� SIGN Q � Q DEMOLISH <br /> INSTALL REPAIR_ <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> 'FYPE OF CONSTRUCTIOM� Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK - L° Ci GY � 11 /�l �'l l' � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING _ $ VALUATION F TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVIC Q PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ : \ <br /> `i � <br /> [�MECHANICAL $ � VALUATION F MECHANICAL INSTALLATION � J� <br /> c�0. � \ <br /> QGAS Q ROOFING Q SPECIAL 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD NE AREA ; QYES � NO <br /> BUILDER COI�IPANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAM COM ANY � <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� - Y/N <br /> Address License# <br /> PLUMBER COM ANY <br /> SIGNATURE � • ReGI ERED Y/ N FEE CURRE� Y/N <br /> Address Cicense# <br /> MECHANICAL � � � COM ANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� - Y/N <br /> Address v 1 � W License# � <br /> L�� <br /> OTHER ' C M ANY ' <br /> SIGNATURE REGI TERED 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 />� -- � - =Minimurrr4en(-10)�working daysafter subrnittal•date:Req irerl-onsite,-Construction�Plans,-Stormwater P-lans_w/-Silt Fenc�installed,. — <br /> Sanitary Facflities 81 dumpster;Site Work Permit for su divisions/large proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Saf ty Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10).working days after submittal date. Req i�ed onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all ew projects.All commercial requirements must.meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. � - , <br /> "'*PROPERTY SURVEY required for afl NEW consVucti n. � <br /> Directions: ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over�2500,a Notice of Commencement is required. (AIC upgra es over�7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be omeone with notarized letter from owner authorizing same <br /> O!!ER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C - Fences( IoUSurvey/Footage) <br />� Driveways-Not over Counter if'on public roadways..needs ROW <br />