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a��-7saoa2o City af Zepl�yrhills Permit Appiication Fax 813-784-0Q21 <br /> Butldi�g bepartment - <br /> � .� _ � , <br /> Date Received Phane Contact for Perc»itt3n — <br /> Owner'a Name Owner Phane Number <br /> Owner's Address � �t�� Owner Phone Number �� � <br /> Fee Simple Tltlehalder.Name � I 1 Owner Rhone Number � �� <br /> I <br /> Fee Simple Titiehoider Address <br /> JOB ADbR�SS ! LOT# � <br /> SUBDIVISIdN � � PARCE�ID# <br /> t08TAINED FROM PRBPERTYTAX NOTICE) <br /> WORK PROPOSED NEW tONSTR ADplA � SIGN Q Q DEMOi,ISN <br /> � e lEVS'iALL � REPAI <br /> PROPOSED USE Q SFR C] CQMM 0 OTHER <br /> TYPE OF CONSTRUCTIQN Q SLOGK Q FRAME � STEE� Q <br /> DESCRIpTION CIF WORK .`L J�"' �-C( � /�/C° <br /> � <br /> BUILDING SI2E � � SG!FObTAGE C� HEIGHT ��� <br /> � <br /> 0��«����'' $ , � VALUATIONI OF TOTAL CONSTRUCTION <br /> El.ECTRICA� $ �j�,.� ._.�--- AMP SERVI E �(�'� PROGRESS ENERGY Q W.R.E.C. <br /> �_�_e'��/� <br /> C]PLUMBlNG �;�� <br /> L <br /> QMECHANICAI. ($--� �VAIUATlO QF MEGHANICAI INS7AI.l.ATl4N <br /> � <br /> QGAS Q ROpFING [[�] SPECI LTY � OTHER � <br /> FIfVISHED FL�OR ELEVATlONS FLOQQ)ZONE AREA QYES NGl <br /> � � <br /> BUILDER COMp/Wy <br /> SIGNATURE REGlS7ERED Y t N FEE GURREA Y!N <br /> I ' <br /> Address � Cfcense# �� ��� <br /> E�ECTRICIAN . _ C�MPANY I�/�� ���-�� '�f <br /> SIGNATURE - - FtEGlsrEREa Y! N �EE CU�tEn Y t i+! <br /> i <br /> Address � � � -• Llcense# �c_.-- �C�C��,�� <br /> P�.UMSER C�MPANY <br /> SIGNATURE RE�tSTERED Y t N FEE CURREt� Y t N <br /> Address � , License# � � <br /> MECFlAP!!GA! C IMPANY <br /> SIGNATURE REGISTERED Y! N �E GURrtEt� Y!IV <br /> i <br /> Address I License# r �� <br /> O7HER � C IMPANY <br /> SIGNATURE ttE�15TERED Y/ N... FEE CURREA Y/N <br /> Address I License# � � <br /> i <br /> RESIaENTiAL Attach(2)Flat Plans;.(2)sets of Building'Plans;(1)set of Energy Fotms�R-l?-W Pennit for'new cansiruc6an, <br /> Mi�imum,ten(1.0):working days after submittal date. Requfred onsite,ConsUvction Plans;Stormwater Plans w/SAt Fence installed, <br /> Sanitary Faaiti�es 81 dumps#er Site'Woric�ReRnit for subdiVi"sionsnarge projects � <br /> COMMERCIAL Attach t3)complete sets of Bultdirig Plans pius a Ufe Safety Page;{1)set of Energy Fctms.R-Q-W Permit for new constructlon. <br /> Minimum ten(10)working days'�after submittal date. Required onsite,Construc8on Plans,Stormwater Plans w/Silt Fenee i�stallsd, <br /> Sanitary Facttities&1 dumpstec Site Wark Permit for a�l new proJects.AII commercial requlrements must meet compilance <br /> SlGM PERMIT Attach(2}sets ofEnginesred,Plans.,., � <br /> •`••PROPERTY SURVEY reguired for all NEW canstru�tton. <br /> Dlreatlo»s: ' <br /> Fill out applicatlon completely. � <br /> t3wner&Contractor sign back of applicaUon,natarized <br /> if over S25d0,a Nattce of Cammencement is regWred. (AlC upgrades over Si'500) <br /> '* Agent(for the contractot'}ot Fovirer of Attoritey(for the owner}would�e someone with natarized}etker from owner authorizing same <br /> OVER THE COUNTER PERMITIING..,,r,.;.,;,(Fron�of�AppticatiomOniy)�^--�,�u°°•�, <br /> Reroots if shinglas Sewers %Service Upgrades:A!G_ "'' Fences(RlotlSurveylFootage} <br /> t; „ ; - ,, „',;;;: .,; , ° . , <br /> Driveways-Not over Counter if ori pubtic roadways:.needs RdW= ''7 '; <br /> . ,. , . � ti, , .=i� . <br />