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� aisaeo-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> ; <br /> B�ilding Department <br /> A1 4� <br /> Data Received phone Conta t for Permittin <br /> T <br /> Owner's Name I I SOwner Phone Number <br /> Owner's Address � � /�wner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> I <br /> Fee Simple Titleholder Address <br /> I <br /> JOB ADDRESS � LOT H <br /> SUBDIVISION ARI EL IDN J I 7O� <br /> (OBTAINED FflOM PFiOPEHTY TAX NOTIC� <br /> WORK PROPOSED e NEW CoN57R e ADD(ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPqIR <br /> PROPOSED USE Q SFR Q COfv�M 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRA�nE � STEEL Q <br /> DESCRIPTION OF WORK O`�— <br /> I �"� F3o�I'-� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> Tr1TT1"ITTTrTTrTTrTTrI'Tti T 1"ITTI"ITTTrTrP'T' <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SE IVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ��'\ <br /> QMECHANICAL $� .�,^^ ^ VALUATION OF MECHANICAL INSTALLATION '� � <br /> J� <br /> �>U <br /> QGAS Q ROOFING Q SP CIALTY 0 OTHER - <br /> FINISHED FLOOR ELEVATIONS FLOIOD ZONE AREA DYES NO <br /> -�C '�FF��-.���F'�F�..-r�.-�i-'r�'r���'r-i�w�-�..-r�FC�'�-'rF7�i����'r���7-����..-r���'�-'r� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License q <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ' <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> MECHANICAL �y{1,R COMPANY I r �=f VILILS <br /> SIGNATURE �E'.�� L�/`�� REGISTERED Y/ FEE CURRE� Y/N <br /> Address �/��� License N l� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> 1111111111111111111111111111111 11111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1) et of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sani[ary Facilities&1 dumpster;Site Work Permit r subdivisionsparge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Li�e 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,Construction Plans,Stormwater Plans w/Silt Fence insialled, <br /> Sanitary Facilities&1 dumpster.Site Work Permit I r all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> **"PROPERTY SURVEY required for all NEW conStruction. <br /> ...�1.-F�1.�1-.��F-�1-.4.1-I.�C�..r.-�I.-�1-F-� L-1-L-FFI..1-1-.4�-1..1-C�.-�.-:-1.-FL-F.FC.:.-r..r..-..-r.�f..l-i- <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. (A/C uPgrades over$7500) <br /> ** Agent(for the contractor)or Power of Attorney(for the owner)wo�l�ld be 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 Fences(PIoVSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />