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813-780-0020 City of Zephyrhili Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Idame 0 ��-Y� A'� 1.0 �'L ONrner Phone Number g � 1 g a b <br /> Ovbner's Address ��� i � S�- Ovuner Phone Number 13—�7 ��'j a <br /> , <br /> Fee Simple Titleholder,Name (�D �� �+- (�p� 1,F Owner Phone Number <br /> Fee Simple Titleholder Address -���� � � s! ' <br /> JOB ADDRESS � I�'� S�i LOT# � <br /> SUBDIVISION PARCEL D# ��� — oZ(G�a I — C7�1 O -- G 3�Id� --O � 1 L) =� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ; � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORlC F�S'��}�G� C(>1� l)�.UZS� .�U `�' --� WI ( C, JQFj� <br /> BUILDING ZE SQ FOOTAGE HEIGHT <br /> BUILDING $� ��D P VALUATION F TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVIC Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ _�� <br /> QMECHANICAL $ VALUATION F MECHANICAL INSTALLATION --�/ C �� <br /> l ' <br /> QGAS Q ROOFING Q SPECIAL Q OTHER ' <br /> FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO <br /> �V -Q W�vr" <br /> BUILDER � � ' ` COAA NY <br /> SIGIdATURE. G� REGI RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN � COM ANY <br /> SIGfdATURE REGI ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COM ANY <br /> SIGNATURE REGIS ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COM ANY <br /> SIGNATURE REGIS ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COAlI ANY <br /> SIGM�►TURE REGI ERED 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. Req ired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for su divisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buildfng 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 ired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all ew proJects.All cammerclal requirements must meet compliance <br /> SIGM PERMIT Attach(2)sets of Engineered Plans. <br /> •'"'PROPERTY SURVEY required for all NEW constructi n. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requtred. (A/C upgra es over�7500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be omeone 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( lot/Survey/Footage) <br /> Drivevuays-Not over Counter if on public roadways..needs ROW <br />