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e��-�so-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Departrnent <br /> Date Received + � , � �, /�� � �. <br /> �'�� Phone�Contact for'Permittin ; �y � ,� '��� <br /> Owner's Name � -�{� /C jr Owner Phone Number �� • <br /> Owner's Address /� /f/� Owner•Phone Number <br /> Fee Simple Titleholder Name - Owner Phone Numtier <br /> i,,�t . <br /> Fee Simple Titleholder Address `'°° - <br /> JOB ADDRESS � Y. LOT# � <br /> SUBDIVISION .l y / � �i.(, s /� `PARCEL ID# . �J =� � �'�� � O� -o/ <br /> (OBTAINED FROM'-PROPERTY TAX NOTICE) _ <br /> WORK PROPOSED NEw CONSTR � '� ADD/ALT Q SIGN Q • Q DEMOLISH <br /> . � INSTAtL - REPAIR <br /> PROPOSED USH Q SFR Q COMM Q OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK '" Q FRAME � STEEL Q <br /> DE3CRIPTION OF WORK .• �� // O' �' (� � �( �" Q �. � �� <br /> �UILDING SIZE SQ F007AGE� � . HEIGHT , . '`7`.� <br /> �ILDING $ � :��... -�,p. ... ...�. . ,_ .. . <br /> VALUATIOIV°�OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> , � � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �/��Y'� <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER ��C! <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA C]YES: _ NO � <br /> �� l/�/� � <br /> BUILDER COMPANY ���LC� /�/ � �_ " .. {� � <br /> SIGNATURE � 0 REGISTERED Y/ N FEE CURRE� Y./.N. <br /> Addresa /� ��� � License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE �} REGISTERED Y/ N FEE CURRE� Y/N � � <br /> Address � Ltcen'se#; � <br /> PLUMBER . COMPANY� -• � y • <br /> SIGNATURE REGISTERED i Y/-N'.. , FEE.CURRE� Y/N. • <br /> Address � � License# <br /> MECHANICAL . COMPANY � . <br /> SIGNATURE � ,�REGISTERED -Y./ N ,FEE CURRE� Y/�N� <br /> Address�'� � . .t , � � - License# .. - <br /> OTHER COMPANY � � <br /> SIGNR►TURE.- REGISTERED Y/�N..:_ F.EE CURRE� M1 Y•GN;.. <br /> Address - - ~:i:<.,. � - , ,� - ' '-L'icense#' - <br /> RESIDENTU4L'� . '�Attach.(2),P.:,Iot;P,lan§;�(2).sefs:of�Builtling�`Rlaris;(1j sef of�Energy�Forins;''R-O=W�Peririlffor'new;;con"s.truclion, � <br /> YCy •'W <br /> ,:hlNinlmum�ten:;(�10),working;days;aftec;,`subiolttal;daEe.?:Required ons(te,�Construction�Plans•;Storinwate�Plans"w%Sllt Fence installed, <br /> + Sanitary Faciltdes,&rt1{dumpsterySi�efiWork�Permit fo,r..;"subdivislons/large:;proJect§:,.��,;.�`;''.`�'..J ` = . � �' � <br /> GOMMERCIAL Attach(3j'comple4e'sets`of Buildirig`Plans plus a.Life Safety�Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days'after submittal date: Required onsite,ConstrucUon Plans,Stortnwater Plans wd Silt Fence lnstalled. <br /> Sanitary Facilitlas 8 1 dumpster.Site Work Pertnit for.all`new'proj�cts�-All commercial requirements must meet compllance <br /> _ SIGN PERMIT AttacPi"(2)sets of`Engineer,ed�Plans;•;:;;�,�c:. . .. : `. : <br /> ""PROPERTY SUR1/EY reguired_fo[�all_fVEW consWction.... . . _ <br /> DlrecNons: ,: � - � ' <br /> FIII out epplicaUon completely. <br /> Owner 8 Contractor sign back-of applfcatlon,notarized , <br /> If over 52500,a Notice of Commencement i�requlred. (AIC upgr�des over�7500) <br /> �,,�;.�rs.,..;,:� ` <br /> " Agent(for the�contractor)o��Powe�ofAttortiey�(fo�the�owner)would be'someone with notarized letter from owner autho�izing same <br /> DYER THE COUNTER.P..ERMITTING-- -��, (Front,ot Application Only) -- � ` � <br /> Reroofs if shingles Sewers Service`Upgrades A/C Fences�(PlodSurvey/Footage) <br /> i, y ; - <br /> Driveways-Not over Counter if on public roadways..needs ROW � <br />