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a�saso-oo2o City of Zephyrhilis Permit Application Fax-813-780.0021
<br /> Building De artment
<br /> Date Received ' Phone Contact for Pe tttin O�/. L gg —���g
<br /> Owner's Name ��'^� W����� Owner Phone Number
<br /> Owner's Addrass �� �-"� W Owner Phone Number
<br /> Fee Simple Tltleholder,Name Owner Phone Number
<br /> Fee Slmple Titleholder Address
<br /> JOB ADDRESS LOT# �
<br /> SUBDIVISION � Q PARCEL ID# 2� ' 26 ' Z f�O(�D � dd�OO !D�`C�
<br /> (OBTAINED FROM PROPERN TAX NOTICE)
<br /> WORK PROPOSED , B NEW CONSTR�• ADD/ALT SIGN Q Q DEMOLISH
<br /> INSTALL REPAIR
<br /> PROPOSED USE Q SFR Q COMM OTHER
<br /> TYPE OF CONSTRUCTION Q BLOCK ' Q , FRAME STEEL Q
<br /> DESCRIPTION OF WORK �� C"�'��5 tl w� �]
<br /> BUILDIPYG SIZE SQ FOOTAGE HEIGHT
<br /> �BUILDING $ 1 1 VALUATION OF T TAL CONSTRUCTION
<br /> i
<br /> �]ELECTRICAL $ AMR SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> QPLUMBING $ � ����� ; 9�k�a�J(
<br /> �.. G)
<br /> �MECHANICAL $ ���O VALUATION OF MECHANICAL INSTALLATION v� �Jd
<br /> �f�
<br /> QGAS Q ROOFING Q SPECIALTY � OTHER ����
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
<br /> BUILDER � �COMPAf�Y � S 1�l�j
<br /> 7
<br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/.N
<br /> Address r' Cicense#
<br /> ELECTRICIAtd ' � Q /�G��r ; � 1 �( � ��� ��� L
<br /> SIGNATURE � � , Ii ` COMP iY I
<br /> REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address - License# % , '
<br /> PLUMBER COMPAI�Y �
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License#
<br /> .
<br /> MECHANICAL ✓'/ / � �,�; �l' ' COMPAI�Y l � ��G
<br /> SIGNATURE ��—� /�� �� REGISTERED Y/ N FEE CURRE� Y/N =
<br /> Address � , License# c.aco y3 y y
<br /> OTHER COINP. Y
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N.
<br /> AdcYress License#
<br /> RESIDEfVTIAL Attach(2)Plot Plans;(2)sets of:Building'Plans;(1)set of En rgyForms;R-O-W Permit for new construction,
<br /> Minimum;ten(1.0)working days aftec_submittal date. Requlre onsite,Construction Plans;Stortnwater Plans w/Silt Fence installed,
<br /> Sanitary Facilides&1,dumpster,Site Work:Permit for subdivi IonsAarge projects
<br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety age;(1)set of Energy Forms.R-O-W Permit for new construction.
<br /> Minimum ten(10)working days after submlttal date. Require onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Facilities&1 dumpster.Site Wbrk Permit for all new projects.All commercial requlrements must meet gompllance
<br /> SIGN PERMIT Attacti(2)"sets of Engineered Plans. -�
<br /> ""PROPERTY SURVEY required for all NEW construction.
<br /> Directlons: .
<br /> Fill out applicatlon completely. � �� ��� , c ' .
<br /> Owner&Contractor sign back of application,notarized ;�' �' ° `, . � '
<br /> If over 52500,a Nottce of Commencement is re ired., A/C'u de�"�per b7500 �<�a y';-• � �'�'��.- _
<br /> 4k. � _M P9�l.,x � ) •�__. �_.� �.;�;
<br /> " Agent(for the contractor)or Power of Attomey(for the owner)would`6e som ne with notarized letter from owner authorizing same � �� ',
<br /> DVER THE COUNTER PERMITTING (Front of Application"Onty.) :'���t`;'-�_ .�~%. '' - ��."" � '-�;��• �.��.°�,r� ,��
<br /> ,; �; �-1,:;
<br /> Reroofs if shingles Sewers Service Upgrades d%C` Fences(PIoU'r�urve�r/Footage) � -,-� ` • _, � ,:_ :+ -;,.
<br /> �. ,,,� ,�;. +,;�;,'.,.,, :,nr - k� � .,. ..,,. ,_ •. ; -- _'t;i. a •
<br /> ��„ 3
<br /> Driveways-Not over Counter if on public"roadway`s::needs ROV1f,,, _, �„" _ y �- ° � �-•� „`;T;° ;�
<br /> s�,";, _,_..ro.. : ...a,..�r:�.,..�..,., .- : .. _._,.-,_, _. a .�..u..,.A..�
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