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i .e�a�;�ao-oo2o City of Zephyrhiils F�ermit Application Fax-813-780-0021 Building Department Dates Received ,+ �� ,��.,_�J'�� II 6� 31 �� Phone Contact for Permitting � , Owner's Name . � �ri a � � � Owner Phone Number ��1 . � �� 0 Owner's Address �a��a�� M �'� �G`n"f�c'3� 3�Owner Phone Number ' I - — Fee Simple Titleholder Name G.�r► +L Owner Phone Number 1 • Fee Simple Titleholder Address JOBADDRESS ,��4'��j`.r� � �%/"Z'. G7 LOT# � rf� SUBDIVISIOPI �1�-1 �'e�'� �� PARCELID# O�'��-,v�I��" �Q�� DO/� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PRO OSED �NEW CONSTR e ADD/ALT � SIGN Q � DEMOLISH INSTALL REPAIR PROPOSED I SE �� SFR Q COMM 0 OTHER TYPE OF CO STRUCTION � BLOCK Q FRAME 0 STEEL � DESCRIPTION OF WORK r�� 5�°�<<��rn-� !. ��s��-/`C� K✓�� b�''�� I "�J�� BUILDING SIZE SO FOOTAGE .�3 � /'`a,�/ HEIGHT �BUIILDING $ �Qe� �6�, �`� VALUATIONOFTOTALCONSTRUCTION ,�� C�`>' I J � . �ELECTRICAL $ �0��. �� AMP SERVICE J�(./ � PROGRESS ENERGY � W R.E.C. �PL MBING $ f��D• �r� %� �4/ � � ( : 0 M CHANICAL $ 5G�` e� � VALUATION OF MECHANICAL INSTALLATION ��C�� OG IS Q� ROOFING Q SPECIALTY THER ��L.�- FINISHED F OOR ELEVATIONS �d p� �� : FLOOD ZONE AREA DYES NO ' Q7 -1--F-1-�1-1�-4-1-1--��f-1-�i--1�-4-�1-1--1--i-4-��1-l--F-f-�f�-�i-4-1-�1-�1-1--1--F-f-1-f-1--1--f-1--1-�• • • • • " • • • • 1--�1-1--f- BUILDER � � ,�r COMPANY �� T - �1��^+ �� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Addres ��a?��C��CO!�� r' I/I'� c. ��G��lc, 2 License# ELECTRICI �`� �� COMPANY �C� MO�spn ��-`�r� CG SIGNATURE �•� ^' REGISTERED Y/ N FEE CURRE� Y 7 N Addres �� 1 5 i�i I��r' r�.t��G rr• �'- License# �'�i 3�� a� PLUMBER � � COMPANY 1,,��/"/1 Cl'�''1�� /1 °�-`, Q"�S, SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address ` / �p � ,(e �Q() � �v� L6L License# G F� I y2��.'�- MECHANIC IL �� COMPANY ��D r�5�i ��. �i r�y s-kn' f . SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address 5�0� ctsljc,��'f. �C,r•.�-,�T C�+�e License# V C.� OTHER i ��-�-�,/�,_ COMPANY I� 1 ��Crr'� J�� n SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address (� `�"�� j O`!��' .�7�" ��;rs � License 1# C� �� I � � 1 1 1 1 1 lil 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1' 1 1 1 1 1 1 1 1 1 RESIDENTIAL Attach (2) Plot Plans; (2)sets of Building Plans; (1)set of Energy Forms; R-O-W Permit for new construction, I Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCI L Attach (2)complete sets of Building Plans plus a Life Safety Page; (1)set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans vJ/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance � SIGN PERMI� Attach (2j sets of Engineered Plans. ****PROPERTY SURVEY required for all NEW construction. -' '-.--�:��4.i�-i�4-1-.�1-�-�1-�1-1--1--i-1--��1--�.�1--4�f-��4.4�.�l-i.1-1--1-�1--1--L-1--1--1�1--i-I.ol--1--4-• • • • : • • • • 1--1--1-1..4. Directions: I Fill out a plication completelq , � Owner&Contractor sign back of application,notarized ' -� � = - If over�i2500,a Notice of Commencement is required. (A/C upgrades over$7500) ** Ageht(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing�same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shi gles Sewers Service Upgrades. A/C ,. Fences(P.lot/Survey/Footage) ' Drivewa�s-Not over Counter if on public roadways..needs.ROVI/ . __ , ' � ' � . I �.... , .