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813-rao-ooza City of Zephyrhilis Permit Application Fax 813-780-0021 <br /> Bu31di�g department <br /> , � <br /> Rats Recelved Phone Cantact for PermlttFn <br /> . � — <br /> Gtwner's Name �"'� � ! Qwner Phone Number <br /> Owner"s Address � �7 ����G���� �- Owner Phone Number � � <br /> Fee Slmple Tltleholder.Name � � Owner Phone Number � � <br /> I <br /> Fee Simple Tltleholder Address <br /> JOB ADDRES3 7�/ ���d�� ��� LOT# � <br /> SUBDIVtStON �/'li%I�i`� O/S�',/l;�� PARCEL ID# �/ ,� 1/---�O.�G�"�J tO�Da •—D I i <br /> WORK PROPOSED ^ NEW CONSTR ADDIAL� � S1GP1 NED FR�OM PROPERTYTO T1Ce1�EMOl.!$H : ��/ j� <br /> eINSTALL 8 REPAIR � <br /> PRQPOSEQ USE Q SFR � COMM � OTHEF2 <br /> TYPE OF CONSTRUGTION Q BI.00K Q FRAME � STEEL Q <br /> DE3CRIPTION OF WORK ��a� �� � �� �%'�f/�Z//7/f/�'I/fl/�"�-.-sj�/G��G�.e� t <br /> BUILDING S1ZE �� �1 SQ FOOTAGE MEiGHT �`� <br /> �5������� � . �'"Qp, VALUATION'OFTOTAI.CONSTRUCTION <br /> QELECTRICA� ���� AMP SERVIGE Q PROGRESS ENERGY Q W.R.E,C. <br /> �`...„ � <br /> PLUMBiNG $ <br /> QMECHANtCAI $ VALUATiQN OF MEGHANICA�.!I�lSTALIATIOItiI <br /> QGAS ROQFING Q SPECIAL'TY' �� OTF4ER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> � <br /> BU!lDER COMPANY <br /> SIGNATURE REGI5TERED Y/ N FEE CURRE� Y/N. <br /> i <br /> Address � License# r� � <br /> EI.ECi'RIClAN COMPANY <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ( LlcenSe# � � <br /> I P�UMBER CflMPAtiIY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> � Address i License# �^ � <br /> � I , <br /> MECMRNICAL COMPANY i <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N i <br /> I <br /> Address License# � � <br /> O'TIiER ��� COMPANY �� � d�—I����'`r <br /> SIGNATURE L�� REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> � Address � u�� �c3�� ���� �j '! License# {+��i���y� I , <br /> RESt0�N11A1. Attach{2)Plot Plans;{2}sets af Siiilding'Plans;{1)set�af Energy Farms;R-O-W Permit for new cbns#ruction, � <br /> Minimum ten(10)working:days after.submittal date. R�equired onsite,Canstniction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facilitie,s&•1 dumpster,SRe Work Pertnit for subdivislonsAarge.proJects <br /> COMMERCtAt,. - Attach{3}comple#e sefs of Bu3iding Pl�ns ptus a i.►fe Safefy Page;{1}set af Energy Farms.R-0 W Penn9t for new construction. <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Constructian Plans,Stortnwater Plans w/Silt Fence installed, <br /> SanlNary Facilides&1 dumpster.Site Work Permit for al!new projeots.All commercial requlrements must meet campllance <br /> SIGN PERMIT Attach{2)sets of Englneered P.tans.. � <br /> ' "'""PROPERTY SURVEY required for all NEW canstrucdan. , <br /> Dlreatlons: � ( <br /> Pill out appllcaUon wmpletely. � <br /> Qwner&Contraator sfgn back of appiicatlon,notarized <br /> If over$2500,a Notice a#Cammencsmentis;requirad, (A/C upgrades over ST90Q) <br /> �� I <br /> AgeM(for the contractor)dr Power of Attomey(foc the awne�);virduld•.be,4someone with notarized letter fram owner authorizing same <br /> � _,,i <br /> i DVER THE COUN7ER P.EttMITTiNG ��(Front of ApPti'catian Onty} �,.,.'����.,••. ; <br /> Reroofs if shingles Sewers Service Upgrades'%VC'" Fences.(Plot/Survey/Foatage) <br /> '_ . -• ..._,,,_._�...ri: ' , <br /> priveways-Not over Counter if on publlc roadways..needs`ROW�•-.•_,�,';r.;�y Y' r <br /> � <br /> l <br />