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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> � <br /> ' Building Department <br /> Date Received Phone Contact for Permitttng �Z 1 �7� — �Q r-` <br /> Owner's Name o�+"l� '`����O����' Owner Phone Number S(3 �3d` 0�7� <br /> Owner's Address ���`3 S�l(����A Lf�� i ��H���� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS � ( J�� fC(/��f�L� �'�- ����'��/LLJ` °�L e��S��-L LOT# I I"� <br /> SUBDIVISION V�l�-'ET'�79 L� ' PARCEL(D# `� `'Z4� `2'r ``�I7 O—110 OQ o� �I�'N <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q- SFR Q COMM � OTHE — <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��C'O V G Q. �/v� L�Y��� l�l f eI rllV yC�/D� '^'r�1� �7 O v I/��G`T�I NI l�'��t�N� <br /> BUILDING SIZE �7 � °��� SQ FOOTAGE ���� HEIGHT � r <br /> �BUILDING � ��7(� VALUATION OF TOTAL CONSTRUCTION � <br /> J(✓ <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERG W.R.E.C. <br /> OPLUMBING $ �'j�Q,� �i� <br /> �� ���. <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO t <br /> ��� <br /> OGAS � ROOFIN [� SPECIALTY [� OTHER L`�Q Q� <br /> 1 ��i <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �J � G �G p�` �h� <br /> ��. � . M <br />--BUIL-DER— �. r f�� � � �/ !� � �JCL �Ld��l�►� Ulf�¢7�yf��R��O��,�C�-� ' �u.�r`r�,�- <br /> SIGtJATURE t�t�'f "'f"�=��'4�f, v!� ���� COh1PANY '/ <br /> REGISTERED / N FEE CURRE� Y/N �l�G- <br />' Address ' License# <br /> I' ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUNlBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIflECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address Llcense# � <br /> OTHER COAflPANY <br />� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDEPITIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction, _ <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COWIMERCIAL Attach(3)complete sets of euilding 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,Construction Plans,.Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compiiance <br /> SIGPI PERnIIIT Attach(2)sets of Engineered Plans. ' , <br /> """"PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br />, Fill out application completely. <br /> Owner 8 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)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERflAITTItJG (Front of Application Only) , � <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) - <br /> _ , - . <br /> Driveways-Not over Counter if on public'�oadways..needs ROW . • - , �� . ' � �;. <br /> , , • <br /> , - � _ <br /> , <br /> - - - <br /> . , <br /> � - • - <br /> . , , <br />