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Ie��-�eaaozo City of Zephyrhilis Permit Application Fax-813780-OD21 <br /> Building Department <br /> _� : ° <br />' • ° Date Recelved �� � � Q., �1 (,' �1(� <br /> � I Phone CoMact for PertnitUng O J �� _ / l�Z <br /> Owners Name ��Yh� �'��( Owner Phone Number ���/��^53�� <br /> Owners Address � �3 1 °7-� '� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 3�533 `��"S�'� , v� LOT� / 7 <br /> SUBDNISION ����'-�y H��ICl) pARCELID# 0����'al��(�oO`Q��D' /a7O <br /> (OBTAINED FRON PROPERTY TAX NOTIC� <br /> WORK PROPOSED B NEW[oNSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q <br />, DESCWPTION OF WORK �T 1 C l�'��1.J � � �T��l 13 See� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �� <br /> I QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.RE.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ � .� ' VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE r�ciSTERm Y/ N �CUaaen Y/N <br /> Address License# <br /> ' I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE cuRrtEn Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE r�cis�tm Y/ N �cuwtEn Y/N <br /> Addreae License# <br /> MECHANICAL � COMPANY �`'�� SPeY�CpS li <br /> SIGNATURE r�cisreaEO Y/N �cuw�r, Y/N <br /> Address Sb�J � �J�C�� �� License/F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N �e cuRaen Y/N <br /> Address License# <br /> � � � � � � tt � � � � r� rnrn� r� n �r� � r� i � rrr� � i � � � � � � � � � � � i � rr� nr�t � � � r� n�- <br /> RESIDENTIAL Atlach(2)Plot Plans;(2)sets oi Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsVuctlon Plans,Stortnwater Plans w/Siit Fence Installed, � <br /> Sanitary Facilitles 8 1 dumpster,Sfte Work Pertnit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;('I)set of Energy Forms.R-O-W Pertnit for new consWction. <br /> Minimum ten(10)warking days after submittal date. Required onsite,ConstrucGon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitery Facilities 8 1 dumpster.Site Work Pertnit for ail new projects.All commercfal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required tor all NEW constructlon. <br /> ' li • • LI • • 11 • • Illi.l • • � • • � � • • Y • • 1..1 • • 11 � • • IL.1 • {.1 • <br /> Dircctlons: <br /> FII out applicalion completely. <br /> Owner 8 Contractor sign back of applicatian,notarized <br /> It over 52500,a Notice of Commencement is requlred. (A/C upgrades over;7500) <br /> " Agent(for the contraclor)or Power af Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades AIC Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />