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��sa o-oa2o City of Zephyrhiils Permit Application Fax 813-780-0621 <br /> . Building Department <br /> Date Received phone Contact far Permitting � � ?` � – 6 � <br /> Owner's Name � %1` � �J ,. [� � Owner Phone Number <br /> Owner's Addr ss L�� �/ G�L° 1'� f � Owner Phane Number �— � <br /> Fee Simple Tit eholder Name �/„_ L,=J�,� L.��C/�� Owner Phone Number �� � <br /> Fee Simple Tit eholder Address �G✓�� G1/ r ��� <br /> r t / <br /> JOB AUDRES S G� LOT# �� <br /> SUBDiViStOtd � ��fly � PAf2CEL Id# j � ' � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WOFiK PROP �SED . �IEW CONSTR ADDIALT 0 StGN [� � Q DEMtJ[.tSH <br /> e INSTALL 8 REPAIR <br /> PROFQSEQ U E Q SFR Q COMltit 0 QTHER <br /> TYPE OF CQ STRUCTION Q BLOCK • Q FRAME 0 STEEL Q <br /> dESCRtPT10 OF WOi2K t (,��/�' � . °��.4� � / r/"�I <br /> r } y'''' <br /> BUILDING S! �m �S ,��� � SQ FOOTAGE� HEIGHT !� !�� <br /> �BIJt DIN� $ ��� � . <br /> , VA�UAT1QM1t`OF TOTAL CONSTRUCTION <br /> � �� �'/� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> ELE TRtCAL $ .... ��� <br /> 0 � <br /> PL.UMBING �$ —� �`f�� � n t, <br /> L... � � �� <br /> QME+HANICAL $ � VALUATIQN QF MECHANICA�INSTALLATION � �� <br /> OGA Q RQQFING Q SPECIA�TY � flTHER <br /> FINISHED FL�OR E�EVATIQNS �� FLOOD ZONE AREA QYES NO <br /> SUII.DEFt ` �,��OMP,4t�lY <br /> � �-� ����y ,�� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> ELECTRIGI ` COMPANY <br /> SIGNATURE _ REGISTERED Y/ N FEE CURRE� Y/N <br /> ,,,....._,... <br /> Address License# � 4 � <br /> PIU�fIBER.;, CONlPANY <br /> SIGNATURE •REGISTERED Y•/ N FEE CURRE� Y/N <br /> . Address � � License# �u � <br /> , MECNANIC � COMPA�IY <br /> SIGNATURE' REGIS7ERED Y/ N FEE CURRE� Y/N ' <br /> Adilress�` ' Liaense.#��� � <br /> .ii, - . . <br /> 4THER' " � COMPANY <br /> SIGNA7'URE� � �` REG�5TeREo Y/ N FEE CURRE� , +Y/N <br /> Address , � � - License# � � <br /> -RESIDEMTI � Attach:(2}:Plof P.lans��2).sets of'Bullding�P[ans;{'t}�set o#EnergyFor'ms;R-0-V1t,Permlt for.new.construction, <br /> � , Minimum:ten:.(.10j woPking`,days after.'submittal date. 'Required onsite;Constniction Plans,Stormwater Plans w/Silt Fence instailed, <br /> - Sanitary;F.acilities.&t1�dumpster;Sife.Wark Permit for sutid'ivisions/large projects <br /> - .COMt�fJE12C1A AttaicFi�{2)complete`sets of Builtlirig�Plans�plus�a^Ci€e Safety Page;{1}set af Energy Fa�sns.R-O-W Permit for new canstn�ction. <br /> � ' _ Minimum ten(10)working days after submittal date. Required ansite,Canstruation Plans,Stormwater Plans w/Silt Fence installed, <br /> " Sanitary Facilities&1 dumpster.Site Wark Permit fo�al!-new projects.Ail commerc4a!requirements rttust meet compiiance- <br /> �'';SIGN�PERMI Attach`{2}sets of;Engineerecl Ptans.� � <br /> � *'**PROPERTY SURVEY,required for..aII.NEW construction. <br /> Dttections: ,• : . � <br /> Fill out a�plication completely. ` <br /> Owner&Contractor sign back af appiica�on,notarized <br /> if over$ 500,a Notiae af Cammenaement is required. (AIC upgrades over$7500) <br /> j "" Agent(fo 'the�cont�aotor)or Power of Attomey(fo�tFie owner)wauld be someone with notarized letter from owner authorizing same, <br /> � .OVEFi THE=C�UNTER;PERMITTING . (copy of contract�required} <br /> Reroofs if shin les Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drivewa s-Not over Counter if an public roadways..needs ROW <br />