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813 780-0020 City of Zephyrhi(fs Permit Application Fax-813-780-0021 <br /> Building Department <br /> , � Date Recetved r� _ 3�r • Phone Contactfor Permitting � t 3 � � - 3�6 <br /> OwnersName / '� ��`L�ti ``��taS e.r OwnerPhoneNumber 13�3� ^�St2 <br /> IOwners Address .3�1��I /°]�wJo,..ioor� �iri Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple TltleholderAddress <br /> JOB ADDRESS �� r� ���✓od J Loo o LOT� �` <br /> SUBDMSION '�D�/�d r��S PARCELIDl� IS�ZG-Z-1^D1�Id-Od000�07GO <br /> (OBTAINED FROM PROPERTIF TAX NOTIC� <br /> WORK PROPOSED e NeUvcoNsrR e ADD/ALT Q SIGN Q [] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM C] OTHER �l w i w �.t r <br /> 7YPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q ' <br /> DESCRIP110NOFWORK ��Ln �a� e f L I��ZI� G <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> T�TrTlTrrrlTrl�rrlTR"rT�TITrITrl�rl"PTRRTr�TITrTlTrR9TrR�l'R'7�I�PT� <br /> QBUILDING $ '7/�� VALUATION OF TOTAL CONSTRUCTION <br /> V <br /> QELECTRICAL $ , AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �/ �J��� <br /> l �`� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON� QYES NO <br /> Tl�lrrrrrrTTriTTrTtn� �� •l � ��rTr�i�1TTl1Tl7�TrrIrAT <br /> / r Tr � <br /> BUILDER y/ COMPANY /'r<-Gf SI D+� J�Do/ J-�v�Lc <br /> SIGNATURE � REGISTERED Y/N �e cuaaen Y/N <br /> Address 13?37 �/�'►e ;�e /3�vJ Llcense# C(�LILS I L3 <br /> ELECTRICIAN '~ COMPANY <br /> SIGNATURE REGISTERED Y/N FEECURRE� Y/N <br /> Address License� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N �ecuwzen Y/N <br /> Addre;s Llcense# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEECURRE� Y!N <br /> Address Lfcense� <br /> OTHER COMPANY <br /> SIGNATURE REclsi�ttm Y/N �E cu�en Y/N <br /> Address Llcense� <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilltlllllllllllllllllltllllt <br /> RESIDEN7IAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permitfor new construction, <br /> Minimum ten(10)working days after submlttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities&1 dumpster,Site Work Pertnit for subdivisfonsAarge projects <br /> COMMERCIAL Attach(2)wmplete sets of Buitding Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new constructlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Faciiitles&1 dumpster.Site Work Pertnit for all new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for ail NEW construction. <br /> �f-1-Ia-t-I-4-4�4-f-1-i-f�-4-1-i-1-1-I�-F-�-d-t-t-f-d-1-t�..t-{-a-1-1-{-1�-t-f.i�-1�-[-a-�F-f-I..I-1-I--E-L-f-{-I--1-I..t-1-f-1-f-f-4. <br /> Dtrectfons: <br /> Fill out application completely. <br /> Owner&Contractor slgn back of application,notarized <br /> _ _ _ , If ove�$2500,a Notice of Commencement is requfred. (AIC upgrades over 57500J <br /> " Agent(for tha contractar)or Power of Attomey(for the owner)would be someone with notarized letterfrom owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingies Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on pubifc roadways..needs ROW <br />