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s�sa�o-oo2o City of Zephyrhil(s Permit Application Fax-813-780-0021 <br /> Building Depertment <br /> Date Received Phone Contact for Permitting -- <br /> Owner's tdame '`�Ct- �... � Owner Phone Number �� (.t3� <br /> .-�1 t. -�-"t` � <br /> Qv+rner's Address c.��i�� Owner Phone Number �� <br /> Fee Simple Titleholder Name � � Owner Phone Number �— � <br /> Fee Simple Tit eholder Address <br /> JOB ADDRES � 1� ��' LOT# � <br /> SUBDIVIStON �— � PARCEL ID# <br /> (OSTAIHED FROM PR4PERTY TAX NOTICE) <br /> WORK PR4P SED e NEW CONSTR 8 ADDIALT � SIGN � [,� DEfV14LlSH <br /> INSTALL REPAIR <br /> PRQPOSED U E [� SFR Q COMM 0 OTHER <br /> TYPE bF CON�TRUCTION 0 BL.00K Q FRAME C� STEEL 0 <br /> DESCRIPTION OF WORK 1.� <br /> BUILDING SiZ � � SQ FOOTAGE[� WEIGN7 �� <br /> �BUIl.DlNG �6 � VALUATION OF TOTAL CQNSTRUCTiON <br /> � <br /> ELE 7RlGA� $ AMP SERVECE [� PRQGRESS ENERGY � W.R.E.C. <br /> � � � <br /> OPLU BING $ ��� ��' !� ��/`^'" <br /> � lt <br /> OME�HANICAL $ VALUATlON OF MECHANIGAL INSTALLATIdN <br /> OGA$ � ROOFING Q SPECIALTY [� QTHER <br /> FINISHED FLOOR ELEVATIONS FLOQD ZONE AREA DYES NQ <br /> Bt3E�DER COMPANY <br /> SIG(dATURE REG3STEftED Y I N FEE CURREi� `(J� <br /> Address —�—�—�� i License# <br /> � � <br /> ELECTRlGIA ^ COtUIPANY � 1 Y 1 t� �'�„ . (,k.3('y <br /> SIGNATURE REGlSTERED Y/ EV FEE GURREP Y I R) <br /> Address License# � � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURftEA Y/N <br /> Address License# �� �� <br /> � <br /> MECNAN1GAi, COMPANY <br /> SIGNATURE REGISTEREp Y 1 I� FEE CURi2ER Y I IV <br /> Address License# �` � <br /> 4THER � �� COMPAEfY <br /> SIGNATURE REGISTERED Y/ N FEE CURRER Y!N <br /> Address License# C� � <br /> RESIDENTIA i Attach{2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-Q-W Permit for new constructian, <br /> Minimum ten(10)working days after submittal date, Required onsite,Construction Plans,Stormwater Plans w/Sllt Fence installed. <br /> Sanitary Facilities&1 dumpster,Si#e Work Permit for subdivisions/large projects <br /> COMMERCIA Attach(2}ccrmplete sets of Building Plar�s plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permi#for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Sllt Fence installed, <br /> 8anitary Facilities&1 dumpster.Site Work Permit far all new projects.All commeroial requirements must meet campliance <br /> SlGPt PERMIT Attach{2}sets af Engir�eered P(ans. <br /> t """'PROPERTY SURVEY required for aN NEW construction. <br /> Qirections: <br /> Fill out aRplication completely. <br /> Owner&�Contractor sign back of application,notarized <br /> if over$2540,a Notice of Commencemenf is required. (A/C upgrades over$7500j <br /> � " Agent(fo�the contractor}or Power of Attomey(for the awner}would be someone with notarized letter from owner autFiorizing�same� ' , <br /> OVER THE GOUNTSR PERMI7TING ~ (cdpy of confract required}� ' <br /> Reroafs if shingles Sewers Service t)pgrades A(C Fences{PIaUBurveylFootage} <br /> , _ _. .. _...>..... <br /> ,_. >_. <br /> Drivewa s-Not over Counter if on public roadways..needs ROW ' <br />