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a���-�ou-uuzu City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Buildi g Department <br /> Date Received p e ontact r Permitt(n __ <br /> �\ <br /> Owner's Name Owner Ph�ne Number <br /> Owner's Address � � Obmer Phone Number <br /> Fee Simple Titleholder Na Oarner Phone Number <br /> Fee Simple Titleholder Address • <br /> � t_ � <br /> JOB ADDRESS LOT# <br /> SUBDIV1510N PARC ID# � " <br /> - ----- ------- --- - >---- - - - - —_----- -----_ - -- ---IOBTAINED FROM PROP.ERTY TAX NOTICE)' - -- --- - -- - <br /> 1NORK PROPOSED e NEw CONSTR e ADD/A T 0 SIGN � 0 DEMOLISH <br /> INSTALL REPAI <br /> PROPOSED USE Q SFR Q COMM [� OTHER`" <br />� TYPE OF CONSTRUCTION Q � BLO�K Q FRAM � STEEL Q <br /> DESCRIPTION OF WORK - <br /> BUILDING SIZE SQ F OTAGE HEIGHT <br /> QBUILDING $ VALUATIO OF TOTAL CONSTRUCTION <br /> QELECTRICA $ AMP SERVI E Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBIN $ ���� l � <br /> C�� <br /> QMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION � _ / <br /> V <br /> QGAS Q ROOFING Q SPECI LTY � OTHER � �G � <br /> FINISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO �� <br /> BUILDER C MPANY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAId C MPANY <br /> SIGNATURE RE IS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER C MPAMY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# - <br /> MECHANICAL C MPANY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y J N <br /> Address cense# <br /> OTHER C MPANY <br /> SIGNATURE RE ISTERED Y FEE CURRE� Y I 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. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles 8 1 dumpster;Site Work Permit for ubdivfsionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Pians plus a Life afety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minfmum ten(10)working days after submlttal date. quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciNtles 8 1 dumpster.Site Work Permit for II new projects.All commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. � <br /> ••••PROPERTY SURVEY required for all NEW cons ction. , ` <br /> Directions: <br /> Fill out application completely. - , <br /> Owner&Contractor sign back of application,notarfzed ' <br /> If over 52500,a Notice of Commencement fs required. (AIC upg ades over�7500) <br /> '• Agent(for the contractor)or Power of Attomey(for the owner)would e 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 Fence (Plot/Survey/Footage) ' � ' <br /> Driveways-Not over Counter'if on public roadways..needs ROW - � - � - <br />