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s�3aeaoozo City of Zephyrhil s Permit Application Fax-813-780-0021 <br /> Buildin Department <br /> , • ' <br /> Date Received phone Contact fo Permttting -- <br /> 'L <br /> Owner's Name ( Owner Phone Number � �3 7 � <br /> Owner's Address "� � S f Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS .S b / 0 /a'J� 3r'!�/y O A�✓I) G �/r�iS S S LOT# � <br /> SUBDI!lISION PARCEL D# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CON57R� ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK .� �✓S � /-1-liG �t,t� �� ,s%A-T /L� o,v%jLo(� �q.�J�G-ZL <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 /> QMECHANICAL $ VALUATION F MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIA 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO <br /> BUILDER CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> a4ddress License# <br /> ELECTRICIAN CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Add�ess License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set f Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities&1 dumpster;Site Work Permit for s divfsionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life S ety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for al new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> 1�MAPROPERTY SURVEY required for all NEW construc lon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> !f over 52500,a Notice of Commencement is required. (A/C upgr des over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would b 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 /> Driveways-Not over Counter if on public roadways..needs ROW <br />