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813-780-0020 City of Zephyr�ills Permit Application Fax-813aeo-oa2� <br /> Bu{lding Depatfinent <br /> r "'� - <br />� Date Itece[ved Phane Contact�for Permi#t1n – <br /> Owner's Name � �a �` tr`�' �� {}w»er Pha�e Hum'ber.., , _ J.�._..»`.�x.'f <br /> Owner"s Address ' �- Ownec,Phane Numtier,. 'r .: � �__ & � <br /> � . _ � -_ -> ��-. _. ,-. _.z..r ,. <br /> Fee Slmple Titleholder Name Owner.Phane Number - <br /> ! <br /> Fee Stmpte titleholder Address <br /> 7 � <br /> JOBADDRESS ��D � � r7gb2'8 Z�`� �v�" LOT# C� <br />� <br /> i sueo�v�sioN �— � � PARCEL ID# ��, - �.I-' �010 "'�U 1p bG�— Caa 1 <br />' (OBTAINED FROM PROPER'!Y TA3(NOTtCE) <br /> V4fORFC PROPt?SED NEW CoNSTR ADDJP�tT � SIGN Q [� DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED.USE Q SFR � CQMM Q C?THEE2 <br /> TYPE OF CONSTRUGTION [� BLOCK [�' FRAME � STEEL [� <br /> DESCRIPTION OF WORK -C C�V'"� ��� � �4-'f GI�V`` �C'.c- <br /> BUILDING SIZE �— � SQ FOOTAGE�� HEIGHT �� <br /> i <br /> �8�������' �� . � VALUATION QF TOTAL COIVSTRUG710N <br /> .� t�/G� <br /> LECTRiCAI. $ ���� AMP S�RVlCE Q� PROGRESS ENERGY Q W.R.E.C. <br /> /� ��--� <br /> o���,M���,� $ 6,�07 <br /> � � <br /> QMECHANICAL $ VA�UATION t�F MECHANICAI.INSTA�IATICIN � <br /> QGAS Q RQQFiNG � SPEC�AI.TY [� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZQNE AREA QYES NO <br /> i <br /> I <br /> , BEJI�DER COMPAN1t � <br /> �' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addresa � Cicense# � � <br /> ( ECEC7RICIAN ��!�,1 CBMPANY �t�. N t t � ��t rc �V`�-- t O r� <br /> SIGNATURE -� REGISTERED Y/ N FEE CURRE� Y/N <br /> i. <br /> � Address t l �.� a I License# �� QO� /2-!p � � <br /> PIUMBER �I Mpp(�}( <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � license# � � <br /> MECHAPtICAI. COMPANY <br /> SfGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# r� t � <br /> , , . , I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N. <br /> Address ! <br /> License# � � <br /> EtEStDENT1Al. Attach(2}Piot Plans;.{2)sets af:Building Pians;{1}set af Energy Farms;R-0-W Permlt for new constructton, <br /> Minlmum.ten�(10).working;days after.submittai date. Required onsfte,CanstrucUon Plans;Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&1•.dumpster.Site Work�Rermit for4su6didisionsAarge qroJects <br /> C4MMERCIAI. Attach(3)complete sefs of Svitdltig Plans plus a t�fe Safe#y Page;{1}set af Energy Fotms.R-O-W Pemrlt for new cans#ruction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsUuctian Plans,Stortnwater Plans w/Silt Fence installsd, <br /> Sanitary Facilides&1 dumpster.Site Work Pertnit for all new proJects.All commercial requlrements must meet camptlance <br /> SIGN PERMIT Attach{2)sets of Engineered:Plans.,,. <br /> "`""PROPERTY SURVEY required for all NEW const i ctian. <br /> �}1�9CtI0iiS: <br /> FIII out appUcaUon completely. <br /> Owner&Contractor sign back of appiica�on,notadzad <br /> if over 52500,a Nottce of Commsncement is requlrad. {A!C upgrades over 3T500) <br /> " Agent(for the contractor)ar Power of Attomey(far the owner)would�be sameone with notarized letter from owner authorizing same <br /> OVER THE COUNTER AERMIITING (Fmnt�af Appllcation Onty) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Foatage) <br /> Driveways-Nat aver Counter if on pubtic roadways..needs ROW <br /> i <br /> � <br /> ' -- — <br />