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o�riou-uv�u C;ity ot Zephyrhilis Permit Application Fax-813-760-0021 <br /> B'ildfng Department <br /> [93te Received Phone Contact tor Permittin �.So2 ��( -- � ? � <br /> Owner's Name � Owner Phone tdumber <br /> Owner's Address Q� �� � QCJP�$ /� �C Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number � <br /> I <br /> Fee Simple Titleholder Address { <br /> JOB ADDRESS � g�Q �� 7'��� C 3��� 5 ��! �2-�C LOT# 6 C� �v'� <br /> SUBDIVISION C i P �! PA�CEL ID# � . �ro ' Oa� C�I <br /> _ _ � (OBTAINED FROM PROPERTY TAX NOTICE) �_ _ j' ^ <br /> WORK PROPOSED NEW CoNSTR ADD/ALT [� SIGN Q Q DEMOLISH <br /> B INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER ' - <br /> TYPE OF CONSTRUCTIOR! Q BLOCK Q FRAME 0 �TEEL Q <br /> DESCRIPTION OF WORK �2e rQO� c � �Od S <br /> BUILDING SIZE SQ FOOTAGE � - HEIGHT <br />, �BUILDING $ ���y�o� VALUATION OF TOTAL CONSTRUCTION" <br /> V <br /> QELECTRICAL $ i4MP S �RVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ 5�,�� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� <br /> QGAS ROOFING Q SPECIALTY <br /> � OTHER <br /> FINISHED FLOOR ELEVATIONS FL�OD ZONE AREA QYES NO - <br /> BUILDER COMPANY <br /> SIGNAITURE REGISTERED Y./ N FEE CURRE� Y/N <br /> I Address License# <br /> ELECTRICIAN COMPAMY - <br /> �IGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE _ REGISTERED Y/ N .FEE CURRE� Y/N <br /> Address ` License# <br /> MECHANICAL COMPANY <br />' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> p! � <br /> OTHER �— � � COMPANY �eC G(P� �`�i/� <br /> SIGfdATURE L REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� C ti�'PG Cr {rn� � r'�� License# �C (� � <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 dat . Required onsite,Construction Plans,Stormwater Plans w/Siit Fence instailed, <br /> Sanitary Facilities 8�1 dumpster;Stte Work Permit for subdivisions/�arge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Conshuction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facillties&1 dumpster.Site Work Permit�for all new proJects.AII commercial requirements must meet compNance <br /> SIGN PERMIT Attach(2)sets of Engineered Pians. <br /> _ "'••PROPERTY SURVEY reGuired for all NEW corstrucUon. <br /> Directions: <br /> Fill out application completely. , <br /> Owner&Contractor sign back of application,nota�ized <br /> If over 52500,a Notice of Commencement Is required. (AIC f pgra�es over 57500) <br /> •' Agent(for the contractor)or.Power of Attomey(for the ownec)wlul�be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING v (Front of Application�Qnly,) p <br /> Reroofs if shingles Sewers;;� ��S�enilce llpgrades;,A!C ' ;,.Fenc�s(PfoUSurvey/Footage) <br /> , , ..�.;- ,._ <br /> �,.,.;,:�_,: <br /> Driveways-Not over Counter if on_putilic.[oadway.s..needs ROVII.. :� <br />