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813-780-0020 City of Zephyrhil s Permit Application Fax-813-780-0021 <br /> � Buildin Department <br /> Date Received ��� � <br /> PhoneContactfo Permitting �� �G� -- ��� <br /> -.*.- <br /> Owner's Name Q�y y�. '��tirG Owner Phone Number <br /> Owner's Address � b Z �� �H Owner Phone Numbei <br /> Fee Simple Titleholder Name Owner Phone Num6e� <br /> Fee Simple Titlehalder Address <br /> J08 ADDRESS J�6 Z J T`� �[�c LOT# � <br /> SUBDIVISION ��T�s e� 2t.��y��,��l � PARCEL I # � " a7`�-1/- �0/U - /70Q 0- !�d v <br /> / (OBTAINED FROM PROPERTY TAX NOTICE) <br />_ WORK PROPOSED _ NEW CONSTR ADD/ALT �_ SIGN � _ 0_ _ DEMOLISH __ _ _ <br /> ~ . � B INSTALL �v REPAIR � <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WOi2K �lvN6 /' a 7 6v� �,/o,v fi z.� 7�/' f�° <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> OBUILDING $ �� VALUATION O TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. <br /> �PLUMBING $ <br /> � <br /> �� 5 <br /> OMECHANICAL $ VALUATION O MECHANICAL INSTALLATION I � <br /> � ` . <br /> OGAS 0 ROOFING Q SPECIALT � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA DYES NO <br /> BUILDER � • v COM ANY ��,''ro.'d!,/ �a/� o/ /� /l � <br /> SIGNATURE ��'' ` REGIS RED Y N FEECURRE� /N <br /> Address �} 0 i�a^/�� � " License# ��G ���/�9 <br /> ELECTRICIAN COM ANY <br /> SIGNATURE REGIS RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER CaM ANY <br /> SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COM NY <br /> SlGNATURE REGIST RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COM NY <br /> SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of nergy Forms;R-O-W PeRnit for new construction, <br /> Minimum ten(10)working days after submittal date. Requ red onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilikies 8�1 dumpster;Site Work Permit for sub ivisions/large projects <br /> I COMMERCIAL Attach(3)complete sets oF Building Plans plus a Life Safe Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10j warking days after sut,mittal date. Requ red onsite,Con�truction Plans,Storniwater Plans w/Sil4 Fence installed, <br /> Sanitary Facilities& 1 dumpster.Site Work Permit for a(I n w projects.All commerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW conslructio . <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 upgrad s over$7500) <br /> ** Agent(for the contractor)or Power of Attorney(for the owner)would be s meone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appiication Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PI USurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />