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813-780-0020 City c�f Zephyrhilis Permit Application Fax-813-780-0021 <br /> , Building Departmer�t <br /> Dats Received Phone-Contaat far Permtttin ' <br /> •�Owner's Name �.����g ���"�= Owner Phone Number <br /> r� <br /> Owner's Address �9��� �����-���1 '��''• Owner Phone Number <br /> � <br /> Fee Simple Tltleholder.Name Owner Phane Number �' <br /> � <br /> Fee 5lmpte Titleholdar Address ' <br /> '�JOBADDRESS �`��32, ��r�c-��ar�� l�,vG, `Z.'N�u.5, F�. �3S�Iz_.. �or# ��� <br /> ��� <br /> suBa�visiaN PARCEL ID# <br /> (OBTAINED FRfJM PROPERTY TAX NOTICE) <br /> WOR1C PROPOSED � NEW CdNSTR ADD/ALT � SIGN Q [� DEMOLISH <br /> � e INSTAI:.L REPAIR <br /> PR4POSED�USE � SFR Q COMM [� OTtiER <br /> TYPE OF CdNSTRUCTION� Q BLOCK ` [� FRAME C� STEEL Q <br /> DE3CRIPTIQN OF WORK � � " �"�F <br /> BUILDING SIZE �� � SQ FOOTAGE�� HEIGH7 �y � <br /> OB�E��j��'''' � � 'y�'Z„�{� VALUATION`OF TOTAL CONSTRl1CTION <br /> �ELECTR1CAl � � AMP SERVICE [� PFiOGRESS ENERGY [� W.R,E.C. <br /> I OPWMBING �� - �� <br /> QMECHANtCAL $ VALUATION OF MECHANICRI INBTALLATfON S�'�� <br /> OGAS Q t200F!{VG Q BPECIAi.TY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> � Bu��c�E� ,� � coan�n�v �dLJ�-r�' _ <br /> SIGNATU� � REGI3TERE0 Y/ N FEE CURRE� Y/N .- <br /> '� Address License# ��i � <br /> , ELECTRtC1AN COMPANY <br /> SIGNATURE �' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# � � <br /> i PL!lMBER CQMF.ANY <br /> ' SIGN,ATURE REGISTEReD Y/ N FEE CURRE� Y/N <br /> Address Ucense# � ~� <br /> I MECHANIGAL C4MPA[�[Y <br /> SIGNATURE REGISTERED Y/ N FEE CURRED Y/N <br /> Address+ License# �� �� <br /> OTk1El2 �OMPAI�ftY <br /> SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N. <br /> Address � • Llcense# �' � <br /> RESIDEPITIAi:. Attacfi{2},Ptat Plans;.(2}sets•of BuitdingPlans;(9}se#af-Energyr Fa�rns;R-O-UVt Perirslt for new canst�uc�,an, <br /> Mintmum:ten;(,1.0):working;days afte[.,subrriittal tlate. Requlred ansite,Construation Plans;Stormwate�Plans w/Silt Fence installed, <br /> Sanita'ry FacillUes:&1�du,mpster$Re�Work Rertnit for subdlv,isian�Aarge proJects --- ---=— <br /> -- - ------=-.- __— <br /> �._GOM!MEEtGFAL—Attach.{3}completi�se#s of f3uitii�n�Plans plus a CTfe Safety Page;(1}set of Energy Forms.R O-W Permit for new canstruction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructian Plans,Stormwater Plans w/Sllt Fence installed, <br /> Sanitary FaoiliUes 8 T dumpster.Sita Work Permit for all new proJects:All commercial requfrements must mee!compliaace <br /> StGN PERMIT Attacti{2}se#s aF Englneered Plans.. . � <br /> `«*"PROPERTY SURVEY required for all NEW constructlon. <br /> Dlractions: <br /> Fill out applicaUon compietely. <br /> Owner&Contractor sign back of applfcaUon,natadzed <br /> if over 52500,a Natice of Ccmmencament i�required. {AlC upgrades over ST500) <br /> '• Agent(for the con�tractor)or Power of Attamey(for the owner)would be someane.with notarized letter trom owner authorizing same <br /> i _ <br /> DVER THE COUMfER.PERMtTTiNG <� {Front of Appltcaition Only}; , . , , , �- - � <br /> Reroafs if shingles Sewers Se`rvice Upgra.des,'AJC Fences(PlodSurvey/Footage) - . <br /> � ` � ' - <br /> ' DNvewaya-Not over Counfar if on pubiic roadways.:needs ROW � � - <br /> ( _ <br />