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o�,-r�v-�,��u City of Zephyrhi{is Permi#Appiicatian Fax-813-780-4021 <br /> Building Department <br /> � — <br /> �date Rsceived Phone Contaat for Permitting J� ��� – v � <br /> Owner's Name � Owner Phone Number <br /> Owner's Address Owner Phone Number ,_„w„___. <br /> Fee Simpie 3ittefiatdar Name � � Owner Phone Number � � <br /> Fee Simpie Titieholder Address <br /> J08 AQDRESS V �+.JV � t Lt LOT# [� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PRORERTY TAX N01'!CE} <br /> WORK PROPC}SED e t�Ew CON5TR 8 AdD/ALT C,� SiGN (� [� DEMOLISH <br /> iNSTALL R�PAtR <br /> PRQP�SED USE Q SFR �] COMM �� OTHER <br /> TYPE OF CONSTRUGTiON [�) BLdCK Q PRAME �� STEBL Q <br /> DESCRIPTION OF WQRK � �n.��--`�-' � <br /> BUILDING SIZE �!� SCR FOOTAGE�,� HEIGHT �_� <br /> 08UII.DING �� VALUATION OF TOTAL CONSTRUCTION <br /> [�ELEGTRIGAL ($ � AMP SERVICE � PROGRESS ENERGY [� W.i2.E.C. <br /> �_ <br /> ��PLUMBING $ R�,��? <br /> tJ <br /> QMECHANICAL (�i � VALUATIQN OF MECNANICAL INSTAl.tATIQN <br /> L <br /> QGAS Q ROOFING Q SPECIALTY [—� OTHER <br /> =tRtiSHED FLQOR ELEVATiONS ��� FLOOD ZONE AREA QYES NO <br /> 3UlI.DER COMPANY <br /> StC�NATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � i � <br /> EIECTRICIAN COMPANY <br /> iiGNA'TURE REGiSTEREd Y/ N FEE CURRE� Y 1 N <br /> Address Llcense# � � <br /> 'LUMBER � � CdMpANY <br /> cIGNA7URE t����srE�Eti Y! N FEE CURRE� Y/N <br /> Address License# �— ' � <br /> �ECHANICAL COMPAI�lY <br /> �IGNATURE REGiS7ERED Y i N FEE CURRE� Y/N <br /> Address License# � '—� <br /> 1THER i � �(J ` COMPANY J Z T� ���, Y r ! �C)� <br /> �IGNATURE _ ��'°°x��� REGISTERED N FEE C RREh /N <br /> Address �Q � �.1�',,.1 _ License# � � �J�� � <br /> ;fStDEN'iIAL Attach(2}Plot P(ans;(2)sets of Building Rlans;{1�set of Energy Forms;R-O-W Pemtlt for new constru�tion, <br /> Minimum ten(10)working days after submlttal date. Requlred onsite,GonstrucHon Plans,Stormwater Pians wt Sflt Fence instatted, <br /> Sanitary Facilldes&1 dumpster,Sike Work Pertnit for subdlvislonsAarge proJects <br /> OMMERCIAI. Attach(3�complete sets of Build'+ng Plans plus a Life Safety Page;(1)sei of Energy Forms,ft-Q-W Permft#or new construction. <br /> Minimum ten{10)working days after submittal date. Requfred onslte,Constniction Plans,Stormwater Plans wi Si(t Fence insfatied, _ <br /> Sanitary Facilltles 8�1 dumpster.Site Work Permit for aA rtew pro}ects.All commercial requirements must meet compliance <br /> IGN PERMIT Attach(2).sets_of_Engineered-Plans. -- -�J`—-" <br /> '" � - � "'•"PROPERTY SURVEY required for a!!NEW conskruction. <br /> Irections: <br /> Fill out application completely. <br /> Owner&Contrackor sign back af appl(catton,notari�ed <br /> If over 5250Q,a Notice af CommencemeM!s requFrsd. (AfC upgradss ov�r ETSdOj <br /> Agent(ior the cantractor}or Power af Attomey(for the owner)wouid be someone with notarized letter from owner authorizing same <br /> VER THE COUNTER PERMITCING (Front of Application Oniy) . � - "" '".� ~ <br /> eroofs if shingles Sewers Servlce tJpgrades AJC Fences{PfotJSurveyiFootage} _ �' ' <br /> QNveways-Not aver Gounter if on pubiic roadways..needs ROW � <br />