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� . <br /> 813-780-0020 City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> . � ' Building Department <br /> Date Recelved Phooe,Contact for Permitttn �� - <br /> Owner's Name �c �Z n/ �° �4�iQ►Sh Owner Phone Number b ^�7��`�7� <br />� Owner's Address �3+7 �a7� J,', Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS Sc5�7 ca�`� LOT# � <br /> SUBDIVISION PARCEL ID# `�! 1 26 —2" � — �� 1 Q '�� ���0 �� D�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED , B NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED,USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK ' Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK A�G S��Ye.� ��.v� � �j ,W�p , <br /> BUILDING SIZE ��X�''� SQ FOOTAGE a 7� HEIGHT � d <br /> �BUILDING $ ��!5"Gl��.� VALUATION�OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> OMECHANICAL $ _VALUATION OF MECHANICAL INSTALLATION f�� � , <br /> l <br /> GAS � <br /> Q Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �?�'� � � , �'�'�° connPan�v ['�bbC f1�1��� C��us�, ?.�vc. <br /> SIGNATURE REGISTERED / N FEE CURRE� Y/N <br /> Address Lfcense# G�iC���7d��—� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y;/ N FEE CURRE� Y/N . <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL, Attach(2)PlotPlans;.(2)sets of,Building'Plans;(1)set of Energy Forms;R-0=W Permit for new construction, <br /> Minimum;teri(10)�working:days,after,submittal date:-Required onsite,ConsVuction Plans;Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&.1:dumpster,Site Work=Pertnit for subdlvislons/large projects , <br /> COMMERCIAL Attech(3)complete sefs of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consUuction. <br /> Minimum ten(10)working days after submittal date._Required onsite,Construc8on Plans,Stormwater Plans wL Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Pertnit for all neiw proJects.Ail commercial requlrements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans.._ , <br /> ""PROPERTY SURVEY required for all NEW construcUon. <br /> Dlrections: - <br /> Fiil out applicadon completely. <br /> Owner&Contractor sign back of applicaUon,notarized <br /> If over a2500,a Notice of Commencement ts required. (AIC upgrades over 57500) -- ' - ' � <br /> " �qent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter,from,owner authorizing same <br /> DVER THE COUNT.ER.PERMITTING .au'i�''�EronEof Application•Only) �::� �i ' �" _ �_� �- � ��� � _, _ - <br /> .,, r ��� ,� <br /> Reroofs ifshingles Sewers '; �3ervice,Upg'redes 'A/C,>.� ,Fences(PIoUSurvey/Footage) =� - ' �Q�' ' +��"� . ,;;,;' <br /> i �. " �. .. ;� . �, � , "�'y.. '`� - ..=.. .1 . , , _ ' ;,•'.., <br /> Driveways-Not over Counter if on putilic'roadwaysf:needs•ROW ,.., y '?b_r .. f y, <br /> .. �H i s r{ { i' <br />