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s�aaao-oa2o City of Zephyrhil(s Permit Application Fax-813-780-0021 <br /> Building Department <br /> : � t <br /> date Reaeived Phone Contact for Permitting — <br /> Owner's Name ,�Xt' �`Q 1^��-^ Owner Phone Number _ <br /> Owner's Address � Owner Phone Number �� � <br /> Fee Simple Titleholder Name � �� Owner Phone Number �T � <br /> Fee Simple Titleholder Address <br /> �n � LOT# C� <br /> JOB ADDRESS � ��I !/� it}L� �j V~� <br /> SttBDIVISION �— � PARCEL ID# t��s"'u h � —dL��� " '���� <br /> - - - .�____- __ -. -_- _- -- -°- - -- -- - - - _ - -(08TAINED FROfM PR�PER7Y'TAX NOTICE)- - - -- -- - - -.- __ <br /> WORK PROPQSSD r�Ew ca�scR ADD/AE.T 0 SIGN Q 0 DEMOCtSN <br /> e INSTALL 8 REPAIR <br /> PRQPOSED USE Q SFR Q CQMM � OTNER <br /> TYPE OF CONSTRUCTIQN Q BLQCK Q FRAMF ' � STEEL [� <br /> DESCRIPTION OF WORK '� IC2 'M� -�2� <br /> BUILd1NG SIZE �—� SQ FOOTAGE�� HEtGHT [�,�� <br /> �BU�Z���� r'� VALUATtON OF TOTA�COiVSTRUCTION <br /> dE`LEGTRICA� $ � ANIP SEF2VICE �L9� � PRflGRESS ENERGY [� W.R.E.C. <br /> OPLUMBtNG �6 � i-O(}� <br /> (+ \17 <br /> QMEGHANICAL $ VALUATtON OF MECNANICAL INSi'A�LATION ��Q� <br /> QGAS Q RC}C?F1NG Q SPECIA�TY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS r�� FLOOD ZONE AREA �YES NQ <br /> L <br /> BUiLDER � CONTPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> / / <br /> El.ECTRICiAN �2��"„ COMPANY �r-tG C-F� � (r :.Q U � <br /> SIGNATURE ' i� REGIS7Ei2ED Y/ N FEE CURRE� Y N <br /> Address License# �.-=�C., � ��P <br /> PI.UMBER — _� COMPANY <br /> SIGNATURE REGISTERED Y/ N P8E CURRE� Y/N <br /> Address License# � � <br /> MECHA[+11CAL COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> .,,... ,,,.....„ <br /> Address License# �— � <br /> OTHER � CQMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURFtE� Y/N <br /> Address License# �— � <br /> RESIDENTIAL Attach(2}Plot Ptans;(2)sets of Building Ptans;{1)set af Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Siit Fence installed, <br /> Santtary Facilit+es&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3}comptete sets of Buitding Ptans ptus a Zife Sa#ety Page;(1}set of Energy Fornts.R-O-W Permit for new wnstruc6on. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/8flt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for ail new projects.Ail commerciai requirements must meet compiiance <br /> SiGN PERMIT Attach{2)sets af Engineered Ptans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Dlrections: - <br /> Fill out application campletely. <br /> Owner&Contractor sign back of appi�cation,notarized � `� ` <br /> If over$2500,a Natice of Commencement is required.,�(A/C upgrades over$?500) <br /> *' l�qent(for the contractor}or Power ofAttomey{for the owner)would be someone with notarized letter frpm owner authorizing same <br /> OVER 7HE COUNTER PERMIITING .,, (Front of Application Only) <br /> Reroofs if shingles Sewers Serdice Upgrades A!C Fences,(Flot/Survey/Footage) <br /> Driveways-Not over Counter if on putilic roadways..needs ROW �� '�-� -' <br />