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_ _ ______-� _ � <br /> ,813-784-OQ20 City af Zephyrt�ills Permit Application Fax 813-780-0021 <br /> � Building Department <br /> Date Received�•��� ��_ ���v., ,,�.aY,,,.. ,,,�„.: _ phane Contact for Permittln �1� � l <br /> ,� - <br /> 'f'�� �_ �� � /'' r��f .�-����y1�. <br /> Owner's Name'•. ' � '�--�`"�a � �:���'���9�'1�L'�PrJ C:.'C� Owner Phone Number <br /> :, ,, ;•:� :.' � - i <br /> Owner's Addressc "��.3',+C3 "��h �-•: ° dwner Phone Number � �•:��_ j a����!� � <br /> �,. , /,� � <br /> Fee Simpte Tltlst�afder Name l.�t �fr�l1�/��E'�'►� Qwner F'hane Numher �- <br /> , ; <br /> i : <br /> Fee Sfmpla Titleholder Address �...7 J� 1 h �� { <br /> J08 ApDRES3 J.�� �h �� LOT# �71 J���b <br /> ' �/-r.��a?/--�/� -t°�'}'g�e���l �t� <br /> SUBDIVISION �+ �.,1/')'7 � .S PARCEL ID# <br /> (OBTAINED FiiOM PROPERTY TAX NOTfGE) <br /> WORK PROPt3SED �Ew CoNSTR ADD/AtT 0 SiGN [� [� DEMOt{SH <br /> __ _._ _ ; _w._�.-_ - -e..- !PlSTAIL- 8-- REPAlR-- --- -- -- -� - - -_ .._. <br /> PRQPbSED USE Q SFR Q CQMM � QTHER � 3� <br /> TYPE OF CONSTRUGTION Q B�OCK [� FFtAME � STEEL � <br /> "�DESCRIPTION OF WORK � ''e� � �Q�l aU� r c�5 hc�' S h ��r"'� �� <br /> BUILDtNG 31ZE o!'7 jU�X�`I1 J � 3Q FOOTAGE �l o�4O HEIGHT t�fr�,�_j <br /> �f <br /> �8������� $ ; �� . � VA4UATION OF TOTAL CONSTRUCTION <br /> QEL6CTRIGAI �� ANlP SERVICE Q PRQGRESS ENERGY Q W.R.E.C. <br /> QPLUMBlNG $ ��j��� <br /> � ti�� <br /> QMECHANlCAL $ VAI.UATION OF MECHANlCAI INSTRLlATif?fV � `�p" <br /> �` <br /> QGAS [� ROOFlNG Q SPECIALTY � OTNER <br /> FlNISHED FLOOR EI.EVATIONS ���� FLOQD ZONE AREA QYES NO <br /> f _. _ �� ..�_.. _�-- - <br /> ---8l;tE��2E�:- - -- -- -- - - - - - -� �-COMp/1NY - - -��/ - <br /> StGNATURE RE6ISTER�D Y J N FEE GURREi� Y i N <br /> Addre�s Llcense# � ��� <br /> ElEC7RICIAN COMPANY <br /> SIGNATUR� REGISTEf2ED Y! N FEH CllRRE� Y!N <br /> Address Llcense# � I <br /> PLUMBER COMPANY <br /> SIGNA7URE REGlSTEftED Y! P} fEE CURRfM1 Y!N <br /> Address License# � � <br /> MECHANiCAt. COMPANY <br /> SIGNATURE REGkSTEREQ Y! N Fe�CuRFt� Y 1 N <br /> Address License# ( � <br /> OTHElt COMPAt�tY <br /> SICiNATURE ' REGIS7ERED Y/ N FEE CURRER Y/N <br /> Address 11�—. _ License# �.- - � -- __. <br /> RESlDENTIAL ABach(2)Plot Plans;{2)sets af.6u1lding"Plans;{1)set of Energy�Forms;R-O-W Permit for new construcUan, <br /> Minimum.ten(10).working daysafter_.submittal date. Requlred onsite,Construc8on Plans,Stormwater'Plans w/Sitt Fence installed, <br /> Sanitary Eacili#3es:&�1 dumpste,r,_8ite Wor1c Fermitfor subdivisionsJiarge projects <br /> COMMERCIAL Attaeh{3}complete sets of Buililfrig Pians plus a l.ffe Safety Page;{1}set of Enetgy Forms.R-Q-W Perml#for new canstraction. <br /> Minimum ten(10)working days'after submittal date. Required onsike,ConsttucUor►Plans,Stormwater Plans w!5ilt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Permit for ai�new projeots:All commercial requlrements must meet campllance <br /> 51�N PERMlT Attarfi{2}sets of Engineered,P.tans.� - <br /> •••"PROPERTY SUR\/EY required for all NEW canstrucflon. <br /> Directions: <br /> F(U out applicaUon completely. <br /> Owner 8 Contractor sign back of applCcatlon,nota�ized <br /> If over 52540,a Notice of Commencement is required, (A1C upgrades aver 57580) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)wauld be someane with notarized let#er ftom owner authorizing same <br /> DVER THE COUFITER PERMITTING (Front o#Apptication Only) <br /> Reroofs if shingies Sewefs Service Upgrades AtG Fences{PEaUBu�veylFootage} <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />