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813-780-0020� t City of Zephyrhilis Permit Applicafiion Fax-813-780-0021 <br /> � Building Depariment ���� <br /> Date:Receiwed Phone Contact for Permitting -- <br /> �.a q �^1 I Op � I II d I: 4 'N � <br /> ;r's Name � Owner Phone Number Z. - 'f . <br /> Owner's Address J . S�� Owner Phone Plumber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TitleholderAddress � <br /> JOB ADDRESS �J U.:d Z' r4' LOT# � <br /> , ......_.�..�"�_ . , ., <br /> SLIBDIVISION - 1,U.9J � PARCEL ID# - 2 b - - (� J- U�3� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR �, ADD/ALT � SIGN Q MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM �� OTHER 2.-2. <br /> TYPE OFCONSTRUCTION � BLOCK � FRAME � STEEL � OTHER <br /> DESCRIPTION OF WORK �- J e. /: J� _ <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> , �,��,., q e� a uan°�oc�uooaauomiN�iiivaauao��ima�m�^co <br /> �� BUILDING � VALUATION OF TOTAL CONSTRUCTION , <br /> � ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �_f PLUMCiING $ <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � GAS �� ROOFING � SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES �NO <br /> G�VABtlpWCOPfl9�fl6VY99B9Bp9G9B9PV9�gYN9NN9lIIIINItl011tiGV„G7iil@9h�!P�R�@A"0?IINIfNNN�Y�BfiNVO�i 9tld@ 8��,� p�t'�EVB91M@�G°�!9f�1S'�p,T:."�!�C!�°7B[�Ip6fi�9Gfi00tii�S°l"�t k"I�pnICL�9G!Iyp�O�lu B�'��"""""''ra�aa@a�^pv��II�D0�m�911"�F6R"��0'�W°�a6GT'6ii�i��IIGV�V"9F�69BI�,°AFC4��88GfiP�3'�NiIH8V�G9NN�IBlN9EpH9dCP69�iC <br /> BUILDER ��/'' COMPANY �Ie CJ�e�' )l l'���3C�C:G.- ��i e�. _ <br /> SIGNATURE � REGISTGRED I / N FEE CURR NT Y N � <br /> Address ��Qj� (��5 �� .L.�e l..t �) 33�3 License# s�Lc„ �3Z,j�;1�, <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N ; FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER ' COMPANY <br /> SIGNATURE REGISTERED Y/ N � FEE CURRENT Y/N <br /> . <br /> Address License# <br /> "nECHANICAL COMPANY <br /> iNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � � <br /> OTHER COMPANY <br /> Siui�fiaTUR� �TE�;� � �! �E C = � <br /> f:EG�.., D Y� F_ URP._IvT Y/N <br /> Address License# <br /> E�"�G9FEPI949BtlEBQVGOF�'VBII��� C6YE9V�V9tlI�G9mBN9'�"5tl���e�d�°�aV61�WN�k6�ll9tl���6�fu°�F9�@ry�Fille"��I�199�I��'��'�°"r"�' wl�P""'�ae �Vfl7i969E1PPMPALpFB��7f'�"Gi^p^^^r0iitlnp��I�Q���V9"4��'A'��fl9°'�'�'6�B9�IB " ° "�"�9fi4�G9R�i�VllVW69BP",��� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Eneryy Forms <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster <br /> COMMERCIAL Altach(3)sets of Building Plans;(1)set of Energy Forms. - � <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster <br /> All commercial requirements must meet compliance. ` <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. ' <br /> ***`PRbPERTY SURVEY required for all NEW construction. <br /> +��L"N�pv69Nf12Pt�Nimlmioom�u¢wo�ua9us�u��aawm�oiixooigy�IlilpYil'Pap�u81 �VCOPB��'J9VBP�9N�9�VI�fIIIWO�"�WPro�y�sL�uur�al�auu9�4118111i@II�17�:m��aamim�^am�g��pV�VG�MW@ENPBM�7Nng��i�d'BI�pIIp110� Ppl�l!�p�Y69V4�e3P&P�G���@�m0�IN9Hp�B6�{","S".R'�9NP�1R'�g��o�p�m9I�911Gtl�IIIIVI�iV"��Lm9Bl�°iA��""d�VC�B9VV➢VCVGNVNVIICrL���V� IMI�k1A <br /> -- �__. <br /> rections: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over�5000) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same � <br /> OVER THE COUNTER PERIVYI7711VG (Fronf of Application Only) ' <br /> Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> �riv�:�;ays-Not over Counter if on public roadways. needs ROW <br />