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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> �, Buildin Department <br /> � <br /> Date Receivec9 Phone Contact fo Permittin -- <br /> O�nrner's Wame � Owner P'hone Mumber �Q <br /> Owner's 9►ddress ('� � � C_ � � Ovuner 6'hone Number <br /> Eee Simple Titleholder Mame Ouener Phone Fdumber <br /> Fee Simpie Titieholder Address <br /> JOB�►D�RIESS � � � �� LOT# �� <br /> SUBDINISIOM PARCE ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORFf PROPOSED NEW CONSTR ADD/AL �� SIGN [� Q DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> 7VPE OF CONSTRUCTIOId Q BLOCK Q FRAME � STEEL � <br /> DESCRIPTIOfdOF1MORaC �C°�(�GN �� G _ yl (j(jl �J�C'—z�„ C�j � <br /> BUILDIt�G 51ZE 5('a FOOTi4GE HEIGHT <br /> QBUILDING $ VALUATION F TOTAL CONSTRUCTION <br /> ECTRICAL $ ��f AMP SERVI E / �� PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> OPLUMBING $ `r �` <br /> QMECHANICAL $ VALUATION F MECHANICAL INSTALLATION <br /> � ��`� \ <br /> QGAS Q ROOFING Q SPECIA TY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA �YES NO <br /> BUILDfEFZ CO PAMY <br /> SIGfd�►TURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> � � <br /> ELECTRICIAM CO PAfdY ��✓� S �°C�'�C^G <br /> SIGRIATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> e4ddress ( �J License# '—C� ��� � <br /> PLUMIBER CO PAMX <br /> SIGtd�►TURE RE ISTERED Y/ IV FEE CURRE� Y/N <br /> e4ddr�ss License# <br /> MECHAIdICAL C AAP.46dY <br /> SIGldATIDRE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER C i1flPAbv <br /> SIGfdATURE RE ISTERED Y I N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDEMTIAL 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)wor{cing days after submittal date. R quired onsite, Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanftary Facilities 8�1 dumpster;Site Work Permit for ubdivisions/large projects <br /> COilAMERCIAL Attach(3)complete sets of Building Plans plus a Life afety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. equired onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilfties&1 dumpster.Site Work Permit for II new projects.All commercial requirements must meet compliance <br /> SIGfd PERI�'l1T Attach(2)sets of Engineered Pians. <br /> "'"PROPERTY SURVEY requ(red for all MEW cons ction. <br /> Directtons: <br /> Fiil out applicat(on completely. <br /> Owner&Contractor sign back of application,notarized <br /> If oder 52500,a Idotice of Commence�ent is 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 /> OdEat THE COUNTER PERMITTIIdG (Front of Appflcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fence (PIot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> I <br />