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, e�saso-oozo City of Zephyrhiils Permit Application Fax-813-780-0021 <br />, Building Department <br /> , ' <br /> Date Recelved phone Contact for Permitting �� ��� - � <br /> Owner's Name -�5 �^R' � Owner Phone Number c3� ' <br /> Owner's Address � ��3 9 l-- ��.� ��� ��L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Sc3 !• �I J�.L,.� �jC-.7� J� V C;J LOT# �� 1 , <br /> SUBDIVISION � �G-,�f �ON . PARCEL ID# ����-.�'�-�- V 1`�d - f� rUOOO l�S 1 C1 <br /> (OBTAINEU FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK � G � G�' Dl.� � — t- I ' f J I<1�J�I� ��J�, }� �. � <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> OMECHANICAL $L � ' � VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE 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 /> . , . � �� <br /> MECHANICAL i^�{�� 1 1 COMPANY C�,C�, l (L �,�dJ . S 2c..\ � c. <br /> SIGNATURE w REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ;SD� � �J(��Nj✓E� �.b - �k�,� License# � �� 17s5� <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# , <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 date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities 8�1 dumpster;Site Work Permit for subdivisions/large 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,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 /> SIGN PERMIT 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 i <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> ** Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNT ,A�I,.TI'Jt+I,Q.Ya��:M{.�rdtataP€�A�3plieatfc`�Ptr nly) � <br /> Reroofs if shingles Sewe1'Sri'JR'�a.lSefilic�Upgrades�lC;; Fences(PIoUSurvey/Footage) <br /> s��'s��1a gc�rr��tr".-a�tat,9 Assro� �-F a�,�.'F" <br /> Driveways-Not v..epC,o.�1rtt��#��krPubli�ro�H$VB�IS._�eds R�W <br /> �P �q:: <br /> t�fiQ{i+,�����it(4S�'c°.:;Yff!li!<� ;�li��t-, �,, <br /> �.rJ..�i;F . <br /> .;lE?��;;°��'15fCii2i'd I�T�J�t�� . . ` <br /> �,:+A�zt��sc as�r..YCU.o-.. <br />