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_ �,- <br /> � 813-780-0024 City of Zephyrhilis Permit Application Fax-813-?80-0021 <br /> � Building Department <br /> date Received — -� �^7 <br /> Phone Contact for Permltting 1 <br /> �J ���- <br /> -� tTT ,p L��t ' <br /> Owner'sName �e f'�P � OwnerPhoneNumber Of���6���`�'�� <br /> 4wner's Address Jf3�t}`{p t�.��4LAna�� �t? I Owner Phone Number �— y <br /> Feo Simple Tftteholder Name � I Owner Phone Number � � <br /> f <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS � LOT# �� <br /> SUBDIVISIQN �((,IGA� C�iv���� PAftCELlD� �l�l�ai-a��a-•DGpZ�- c�19� <br /> �— (06TAItiED FR�M PR4PERTY TAX PJOT3CE) <br /> WORK PROPOSED B NEW LONS7R ADp/ALT 0 SIGN Q � pEMOLISH <br /> lNSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q <br /> DE5CRIPTtON OF WORK S(� �1� U'` � t <br /> BUILDING StZE � � SQ POOTAGE� HElCiH7 ��� <br /> Q BUILDING �? �",, �A /'� VALUATION OF TO7AL CONSTRUCTION <br /> .� �xv <br /> �EL.ECTRICAL. �� AMP SERVICE Q PROGRESS ENERGY Q W,R.E.C. <br /> QP�UMBINfi� �.—� � <br /> �MECHANICAL � VALUATION OF ECliANICAL{NSTALLATlON �l� " ` <br /> �C,AS Q- ROOFING Q SPECIAL�� OTHER <br /> FINfSHED FLOOR ELEVATIQ(VS �—� F�OC)D ZO i E Af2EA �YES Nt} <br /> BUILDER � 'r�OMPANY �')t,(.c,I �C4'��;(/QY"n l G���.(!itc f • <br /> SIGNATURE C�(,Q., G� REGISTERED Y/ N F�CU en Y/N <br /> i <br /> Address Ua � License# ��f✓ t1,�f�'� <br /> ELECTRIGAN � � COMP I NY <br /> SIC.�NATURE ftEGtSTEfZEp Y 1 N FEE CURftER Y I N <br /> � <br /> Address I License# �— � <br /> PLUMBER � � COMP�NY � <br /> SIGNATURE REGISTEREd Y/ N FEE CURRE� Y/N <br /> Address � License# �— � <br /> MECHANICAL � � CONtPANY � <br /> StGNATURE REGISTERED Y/ N PEE CURRE� Y i N <br /> Address I License# �— � <br /> OTHER � COMPANY � <br /> SIGNATURE REGISTEREd Y/ N FEE CURRE� Y/N <br /> i <br /> Address I License# � � <br /> IIIIIIIIIIIIIIIIItllllllllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTiAL Attach(2)Piot Plans;(2j sets of Building Plans;(1}set of Energy Forms;R-O-W Permit for new consfruction, <br /> Minimvm ten(10)working days after submi#aI date. Requi�ed onsite,Construction Plans,Stormwater Plans wt Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit fpr subd�visionsAarge projects <br /> CpMMERCIAL Attach(2)camplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constnaction. <br /> Minimum#eo(10)wortcing days after submittai date. Requi�ed onsite,Consiruction Plans,Stotmwater Ftans w!Silt Fence installed, <br /> Sanitary Facilities&T dumpster Site Work Permit for a(i niw projects.Aii commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"`PROPERTY SURVEY reqWred for a!!NEW canstructioq. <br /> I <br /> Directlons: <br /> Fill out application completely <br /> Owner 8 Contraetor sign baek of application,notadzed <br /> If over$250�,a Nptice af Commencement is required. (AtC upgrades ovar$7500j <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE GOtlNTER PERMITTfNG (copy of coniract required) <br /> Reroofs if shingies Sewers Service Upgrades NC Fences{PioUSurveyiFootage) <br /> Driveways-Not over Counter if on public roadways,.needs ROW <br />