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� e�s-7so-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 <br />, 8ultdi�g Deparhnent � <br /> - � , <br /> Date Rece�ved ��� [ � Pfione Contact far permlttin - <br /> Owner's Name ��.Q.� ���S � Owner Phone Number ��'�5c�-�( ��a�C/ <br /> Qwner's Address ����J �i�6CL 2�.'ST W��'! Owner Phone Number � � <br /> Fee Simple Tltleholder Name � � Owner Phone Number � � <br /> I <br /> Fee Simple Tiklaholder Address <br /> JOB ADDRESS ��a. �✓' �"A�CC � � /� i LOT# �,� <br /> SUBDiVISION � * � PARCEL ID# <br /> (OBTAINED FROM PROPERTV TAX N0710E) <br /> WORiC PROPQSED NEW CoN5fR ADD/ALT �] SiGN Q Q DEMOLISH <br /> , e INSTALL 8 REPAI � <br /> PROPt}SED USE � 8FR Q COMM Q OTHER <br /> 7YPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WdRK lo�.� X`c�,.-�o C�A�Q-y'a`' �,��1STR c.c.-.�T f o� <br /> BUILDING SIZE � � SQ FOOTAGE C___� MEIGH? [�� <br /> ���{�'���� $ ��.~���� VALUATION OF TOTAI.CONSTRUCTION <br /> QE�ECTF21GA1. � � AMP SEFtVIGE Q PROGRESS ENERGY Q W.R.E.C. <br /> � ��� <br /> QPLUMBING $ ��Q � <br /> `� f.2p yt�vllSSf c'3�-� <br /> � a ��, ,� � <br /> OMECHANICAL $ VA�UATION OF MECHANiCA[.INSTRt.LAT10�%-'�, n A��� .j} ��� <br /> �� ��.� UV <br /> Oc,4s 0 �ooF��� � s��c� ��nr � o�rH�� �►���-��.��+',c� <br /> FINISHED FLOOR ELEVATIONS �� FLQOD ZONE AREA QYES NO <br /> BUIZDER �f��Y�_ / r�v'� COMPANY ���"2�a w��., <br /> SIGNATURE �''���^�"'� w REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I Lfcense# �� � <br /> ELECTRICIAN COIIAPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address ( , License# � � � <br /> P�UNIBER COIMFANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRH� Y/N <br /> i <br /> Address � License# � � <br /> � <br /> MECHANICAL C{�MPANlt <br /> SIGNATURE REGIS7ERED Y/ N FEE CURREI� Y/N <br /> i <br /> Addreas I License# �� I <br /> OTHER C IMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRB� Y/N. <br /> I <br /> Address � ( License# � � <br /> i <br /> RE8IDENTIAI: Attach{2}P1at Plans;{2}sets.of-Building PEans;{1)setiof Energy�Fonns;R-O-W Permlt for new construction, <br /> Minlmum.ten.(10)iuvorking days,after.submittal date. R¢quired onslte,Construction Plans,Stom►water Plans w/Silt Fence installed, <br /> Sanitary FacillUes&1.dumpster,Site Work�Permit for s'ubdivislonsAarge proJeats - <br /> COMMERCIAL Attach{3}complete sets of Bu3tding Plans ptus a l.ife Safety Page;(1)set of Energy Farms.R-O-W Permit#or new canshuction. <br /> Minimum ten(10)wo�Cing days after submittal dake. R�quired onsike,ConstrucUon Plans,Stormwater Plans w/Silt Fenca installed, <br /> Sanitary FacilfUes&1 dumpster._Site Work Permit for all new projects.Atl commercial requlrements must meet camp!lance <br /> SIGN P�RMIT Attaoh{2)sets af Engineered Plans:.,. <br /> ""'PROPERTY SURVEY requlred for all NEW canstrucUan. <br /> Directtons: <br /> Fill out application completely. � <br /> Qwner 8 Contrac�r sign back of appiica8on,notarized <br /> ff over 52500,a Nottce of Commencement is requlred. (!UC upg lades ovar�7500) ;-- •.-.„:, ,�,,�.,.._: F __ ,1 _ w <br /> '" Agent(for the contractor)or Power of Attoiney�{fq�'tlie°bininer7would�be someone with natarized letter frorri owner autFiorizing same�� •• <br /> DVER THE COUNTER PERMi7T{NG� (Front of=Apptica#ton Only) � '',,' _' ,_ <br /> Reroofs if shingles Sewer�s �Service Upgrades,AlC� • -Fence�(PIat/Survey/Footage) , • � � � ` <br /> �'• . � , ' . � .-. „_- .,. �.. _ ,_ .. _ <br /> Driveways-Not over Counter if on public"'r`o�tilways::ne�eds ROW-�-� - � � - <br /> � <br />