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s�saso-oo2o City of Zep yrhills Permit Application Fax-813-780-0021 <br /> , <br /> uilding Department <br /> Date Received �� 2— �� Phone Cont ct for Permitting — <br /> Owner's Na r e/ Owner Phone Number <br /> Owner's Addre L � � � � Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION PAR EL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADD ALT � SIGN Q Q DEMOLISH <br /> INSTALL REP IR <br /> PROPOSED USE SFR Q CO M Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRA E 0 STEEL Q <br /> DESCRIPTION OF WORK � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATI N OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SER ICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ � VALUATI N OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPE IALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOO ZONE AREA QYES NO <br /> BUILDER C AAPANY <br /> SIGNATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN C MPANY <br /> SIGNATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER C MPANY <br /> SIGNATURE R ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> M H ICAL � �,/� C MPANY %/U�(�+�" ll <br /> SI URE (/</1�� RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> �THER C MPANY <br /> 51GNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set f 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 Facilities&1 dumpste[;Site Work Fermitfor_ bdivisionsAarge projects -- ---- - - °— -- ��--- <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life S fety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submlttal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed. <br /> Sanitary Facilities&1 dumpster.Site Work Permit for I new projects.All commercial requirements must meet compliance <br /> 51GN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constru tion. <br /> �irectlons: <br /> Fiil out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 32500,a Notice of Commencement is required. (A/C upgr des over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would b someone with notarized letter from owner authorizing same <br /> �VER THE COUNTER PERMITTING (Front of Application Only)w <br /> �eroofs if shingles Sewers Service Upgrades•A/C �Fences Plot/SurdeylFootage) <br /> �, <br /> Driveways-Not over Counter if on public roadways..needs ROW ,� ' <br />