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1: <br /> � <br /> � sis-�saoozo City of Zephyrhilis Permit Application Fax-813780-0021 <br /> , � Building Department <br /> Date Received �a Phone ContactforPertnittin �� � / – O J <br /> ' g/3 " � <br /> • /(�,,��_��Qwners Name Owner Phone Number � <br /> /��! . � J� ,_(,,1 L <br /> " vT I O ners Address �.! !�1 L- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOB ADDRESS J ��0 !/G � 2 /� S LOT# /�v <br /> SUBDIVISION /� � y • PARCEL ID# I �qJ �� ����/ �07�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK I�� �r,O/lJ �VV d,NN OU� S T <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �UILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ L'J ' '`"'�� � �`Jr�C��• <br /> ����� � ' �(� � <br /> � <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLhTION � <br /> 3 s�cs' ,� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � /'��L���� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � �,^r^r� <br /> �l�� � <br /> . . . . . . . . . . . . . . . . <br /> �(7 y���1 /� p� �n <br /> BUILDER COMPANY V/ �/ /c../V� <br /> ' SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address � s �f�t(O[l�+/� � License# G QS7q/� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> IAddress License# <br />' PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItIIl11111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consVuction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsVuction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsVuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> i <br /> Directions:• <br /> Fiil out application completely. <br /> Owner&ConVactor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contrad required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> � <br /> L– — --- — <br />