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p��-����u city of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> 'i <br /> Date Receive8 ;, a Phone Contact for Parmittin <br /> Qwner's Name 1N �^ ji C►wner Phone Number � � � <br /> ��/� ,`} <br /> Owner`s Address � /'T71 :�, f f�d� �'� Owner Phone Mumber �` "� <br /> , , <br /> Fee Simpte Tttlehatder Name � �� �` Owner Phone Number ��i �^ � <br /> Fee Simple Tittehalder Address i ,� • <br /> ; <br /> i <br /> JOB ADdRESS i I LQT�# C� <br /> � � � <br /> susQ}v�s�o� �i'�y.�l ��,c.�D� ��c�i�o# 0 �2 0 t D �d 0 0 <br /> � (QBTAIN6D FROM PROPERTY TAX NQTICE) <br /> WORK PROPOSED e NEw coc�sTS 8 ADQIALT 'C� S1GN [� C] DEMOLISN <br /> INSTALL REPAIR ; <br /> PROPOSED USE Q SFR Q COMM 'Q OTHER � _�_ �,,,fp,r7�,�� <br /> TYPE dF CON3TRUCTION Q BLOCK Q FFtAME � STEEL Q , � � �i <br /> DESCRIPTION OF WORK C? � .i'��S i%! . � / 4�'I �., <br /> SUILDING SIZE � � SQ FOOTAGE�� ` iiEIGHT <br /> I <br /> QBUILDING �i � VAl.UATIQtV OF Tt)TA�Ct}NSTRUCTION � <br /> [�]ELECTRICAL (�'-� AMP SERVICE � [� PROGRESS ENERGY Q W.R.E.C. <br /> �..� � <br /> �PLUMBING $ � <br /> C <br /> MECHANICAL $�,a ,d � �� VALUATION OF MECHANICAI.INSTALLATION <br /> i <br /> QGAS Q ROO�'ING Q SPECIALTY Q QTHER <br /> FINISHED FLOOR ELEVATIONS �_-_� FLOOD ZONE AREA QYES NO <br /> j <br /> � <br /> BUILDER COMPANY <br /> StCNATURE REGISTERED ; Y/ N �e�CuRREn -- Y!N -- �~ <br /> � <br /> Address i license# � � <br /> ELECTRICIAN GOMPANY i <br /> SIGPIATURE REGISTERED ! Y/ N FEE CURRE� Y!N <br /> i <br /> AtldreSS � <br /> ; License# � <br /> �' <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED � Y/ N FEE CURRE� Y/N <br /> Address � �icense# �— � �� <br /> MECHANICAL � COMPANY t �^ r.S� ✓"�''C.._-- p <br /> SiGNATURE REGISTERED � Y N FEE CURRE� N <br /> j <br /> Address , l.Icense#� �— � <br /> OTHER COMPANY <br /> SfGNATURE REGiSTERED i Y J N FEE CURRE� Y/N <br /> i <br /> Address � <br /> ; Lfcense# �— � <br /> RESIDENTtAt Attach(2}Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit far new conshuction, <br /> Minfmum ten(1 d}wortcing days after submittal date. Required onsite,Construc�on Plans,Sto►mwater Plans w!8itt Fence installed, <br /> Sanftary FacAitles&1 dumpster,Site Wortc Perm�t for subdlvislons/large proJects � <br /> COMMERCIAL Attach(3}complete sets of Building Plans plus a Life 5afety Page;(1)set of.Energy Forms.R-O-W Permit for new constru�tion. <br /> Minimum ten{10}warking.days after submtt#al date. Required onsite,ConstrucKon Ptans,Stormwater Plans w/Siit Fence installed, <br /> - - Sanitary Facilittes&1 dumpster.Site Work Permit fior all new proJects.Ati eammercia!requirements must meet compiEance <br /> SIGN PERMIT Attach(2}sets af Engineered Plans. � <br /> ""PROPERTY S{lRVEY required for aii NEW construction. � <br /> Directtons: <br /> Fill aut applicatian comptetety. i <br /> Owner 8�Contractor stgn back of appifcatian,notarized I <br /> If aver 52500,a Notice of Commencement is required. {A/C upgrades ovar�75QQ) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from awner authotizing same <br /> � <br /> DVER THE COUNTER PERMITTING {Front of Application Only) { <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIot/SurveylFlootage) <br /> Drlveways-Not over Counter if on pubUc roadways..needs ROW j <br /> I <br />