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813-780-0020 City of Zephyrhilis Permit Appiication Fax 813-780-0029 <br /> , Building Departrnent <br /> « • . <br /> Date Receivad � ��'' �(� � Phone Contact for Parmlttin <br /> Owner's Name �7/t° ` � �..� Owner Phona Number p �� ��1� ��U�`� <br /> Owner's Address � � �'�. Owner•Phone Number � �� <br /> Fee Slmpl�Titleholder Namo � � Glwner Phone Number � � <br /> � <br /> Fee Simple Titleholder Address ' <br /> JOB ADDRESS C(,'�Z '�, I.OT# C_� <br /> SUBDIVI31l�N � � PARCEL iD# � <br /> (OBTAINED FROM PROPERTY TAX NOTlCE� <br /> WORK PROPOSED NEw CQNSTR ADD/ALT C] SIGN [� [� DEMOLtSH <br /> � e lMSTALL 8 REPAIR <br /> PROPOSED USE [J SFR [� COMM [� OTHER <br /> TYPE OF CONSTRUCTlQN [_] BLdCK ' � FRAME � STEEL Q <br /> DESCRIPTION i3F WORK °7..�C E' 02(��• c.P� l/I�C�C9 C� !"'�V�'�`� �v v L"^- <br /> BUILDlNG SIZE �_ � SQ�Oi3TAGE�_� HEIGHT <br /> �, [�BUILDING � �fiy,��r a,�� VALUATION C1F TOTAL CONSTRUC'fION <br /> VV V�J <br /> QELECI'R1CAL �� AMP SERNlGE C] PROCsRESS ENERGY Q W.R.E.C. <br /> QPLUMBiNG ($ � . �� + <br /> �_ �� ��� <br /> QMECHaHiCAL $ VALUATION OF MECHAN�CAL INSTALLATION <br /> QGAS [� RflOFiNG Q SPECtALTY � OfiHER <br /> FINISHED FLOOR ELEVATIONS � � FLOOD Zt�NE AREA QYES NO <br /> BUILDER " GOMPANY / �N?'r' ���� <br /> SIGNATURE REGISTERED Y J N FEE CURREh Y I N <br /> Address License# � �+ I <br /> ELECYRICIAN COMPANY <br /> SIGNATURE � REGiSTERED Y i N FEE CURRER Y/RI <br /> Atldress 'License# � �� <br /> PLUMBER � COMBANY <br /> SIGNATURE REGISTERED Y/ N FEE GURREt� Y/N <br /> Address License# � � <br /> MECHAi�ICN. COMPANY <br /> SiGNATURE REGISTEREp Y:! N FEE CURRE� Y!N <br /> Address License# 1. � <br /> � �� OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE GURREl� Y•/IV . <br /> Address �Icenss# �� � <br /> RESfDENi'lAi:. Attach(2},Rlof Rlans;.(2)sets�af�Building Ptans,(1)set of°Energy�Foims;R-0=W Pemiit:for.�ew.constnicttan, <br /> Minimum�ten.(10}:working{d"ays;after,subriiitiai date.�Requlred onsite,Conshuction�Plans:=Stortnwater Pians w!Silt Fence Installed, <br /> Sanitary Facilitles&:1;dumpster.Site;Worlc.�Fermi#far sutidivisions/large pmjects '` <br /> COMMERCIAi. Attach{3}complete sets of Buil'dirig'Ptans ptus a�ife Safety Page;(1)set of Energy Fortns.R-O-W.Permit for new constructian. <br /> Minimum#en(id)working days after submit#al date. Required onslte,Construction Plans,Stormwater Plans wr/Siit Fence Installed, <br /> Sanitary Faciti8es 81 dumpster.Site Work Permit far all nevu'projects.All c�mmercial requlrements must meet compllance, <br /> StGN PERMIT Attach"(2)"sets df Engtneer.ed P.lans:,,. : � <br /> "'"PROPER7Y SURVEY requlred,forap NEW canstruction. <br /> Dtrecttons: � <br /> Fili out applicaUon aompletely, i <br /> Owner 8 Contractor sign back of applicaflon,notarized � <br /> If over�2500,a Nottce of Comme�cement is requlred. (AIC upgrades over ST500) <br /> " Agent(for the cbntractar}or Power of Attamey(tor the awner)wouid be someone with notarized letter;from�owner aathorizing same „ � <br /> � <br /> OVER THE COUNTER PERMITTING, �� (Front of Application Only) -` � -"" " - <br /> Reroofs if shingles Sewers Service Upgrades_A!C ' Fences(PlotlSurvey/Footage) _ � :y <br /> Driveways-Not over Counter tf on public roadwajrs..needs RC?W � " " - -- - , „ , <br /> . . ,- .. . � •- { <br />