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� e��-�eaoozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Departrnent <br /> Date Received phone Contact for Permitdng Jr _.�B � I <br /> Owners Name � C LL L N� ✓`� �CE C E Owner Phone Number /�— — 3 S <br /> ��-� .B� <br /> Owner's Address �F iLGS. L Owner Phone Number <br /> Fee Simple Titleholder Name �f FG o(JE-�5, E L�t Owner Phone Number <br /> Fee Simple TiUeholderAddress T� j, LL <br /> JOB ADDRESS /BT� / � /{ R / LOT# .S"�G.o S ���I� <br /> SUBDIVISION 2 ED�f aP L L PARCEL IQ/f - I,00 D— —D <br /> (OBTAINED FROM PROPERTYTAX NO710E) <br />' WORK PROPOSED e NEW fANSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ..�' SFR. Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK /7 L L� O <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ O AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �i� <br /> V� <br /> QPLUMBING $ u� �� <br /> IC <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� <br /> I � <br /> QGAS �' ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY A T/7 /S ��O F (�y.. <br /> SIGNATURE REGISiERED N FEE curta�n /N <br /> Address License# ' <br /> ELECTRICIAN COMPANY <br /> SIGNATURE �clsrER� Y/ N �cutxa�n Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE �cis7er� Y/N F�cUat�n Y/N <br /> Address License tF <br /> MECHANICAL COMPANY <br /> SIGNATURE aECis�aen Y/N F�cuwxEn Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE rtE�is�a�n Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIt1111t11111111111111t1itlllllllllllllt1111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Pertnitfar new construction, <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Startnwater Plans w/Silt Fence installed, <br /> Sanitary Facilides 8 1 dumpster,Site Work Pertnit for subd'nrisionsllerge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Cons[ruction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanilary Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW conslruction. <br /> Direetions:' <br /> Fill out applicadon completely. <br /> Owner&ConVactor sign back of appliration,notarized <br /> If over Sz500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the conUactar)ar Power of Attomey(for the owner)would be someone with notarized Ietter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) ' <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurveylFootage) <br /> Driveways-Not over Counter'rf on pubfic roadways..needs ROW <br />