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813-�80-OOZO City of Zephyrhilis Permit Application Fax 813-780-ao2�
<br /> � ' Bullding Departrnent
<br /> Date Recehred � P.hone�Confact far Permitfln
<br /> Owner's Name Q(��� ( ��i'1 C!�Z Ow»er PMone Nunnber
<br /> Owner"s Address cJ�� �a �►" 1 /'"��,. Ow�er Phane Number �� �
<br /> Fee Simple Tltleholder Name �� � Owner Phane Numtier '�� ' �
<br /> , f . .
<br /> Fee Simple Tltleholder Address
<br /> JOB ACIDRES3 3� � �u�` ��� ��C h�( � �'1 1 �tS � i 33S �, LOT# C�
<br /> SUBdIVIS10N �� � PARCEL ID#
<br /> , (OBTAINED FROM,PROPERTY.TAX NOTICE)
<br /> WORK PROPOSEQ '_NEW CONSTR ADD/A�T C,� SIGN' 'Q �Q DEMOUSH
<br /> �.e. INSTALL 8 , REPAIR �
<br /> PROPQSED-USE Q SFR Q COMN1 Q �OTNER
<br /> TYPE OF CONSTRUC710N" " �Q ` BI,OCK " [_] FRAME [� STEEG Q
<br /> DESCRIPTIQN OF WORK Y .-�—�1 S�f�ci-f i v� p� -�e r-�'�.-- �-{�`��� � k r�c e Ct {`,�-rn i n c.-� �� C,��
<br /> Bt71lDtNGSIZE �_ � � SQ�FOOTAGE C�. HEIGHT����� � �� ��� ,
<br /> �8���"����' , � ��-^~ C���l VALUATION��iF't'OTAL CONSTi2UC'1'ION �
<br /> QEl'ECTRICAI � i$�' ' � AMP SER1lICE Q 'PRGIGRESS ENERGY [� W:R.E.C.
<br /> �__...__...
<br /> C]PL:UMBtNG '�$ �� ' � l/ �`,�_/
<br /> �----- !� v
<br /> QMEChA{VIGAL $ ' VALUATION OF;MECHANICAC tNSTALLATiQN
<br /> Q�S Q ROOFING Q 3PEGtAL.TY � QTHER
<br /> FINISHED FLQOR ELEVATIONS ��� FLOOD ZONE AREA �]YES NO
<br /> BUIl.DER�� �� COMPANY� _ • :
<br /> SIGNATURE� �'`-�--�� � REGISTERED Y/ N FEE CURRE� Y/N"
<br /> Address • � i4� � •License# � ' �
<br /> , - �•_ � ` , ,. .
<br /> El.�CTRICIAN. . ::.COMPANY `: , -" < -•.:, r '-� � : "
<br /> SIGNA,TURE � REGISTERED Y/ N FEE CURREk' "-`�-'Y/�N �
<br /> At#dress . ' � . ,License�.#:�� �
<br /> PLUMBER ` COMPANY � . . ., .. � .
<br /> . . ,... , �. . .
<br /> SIGNA7URE' `' ' " REGISTERED X./,N ,Fee cuEtREn-, �Y/N; -� �
<br /> Address > : `_i.i'cense;#��''. l l. � . . ,�.
<br /> MECHANICAl: COMPRNY , . . . , �
<br /> SIGNATURE � -` ' ' ` REGI$TERED Y./ N. FEECURREA- Y,/,N; � _
<br /> Address�'' , � --• ' � . :License# � I
<br /> os��� � . � .. _ . , - ., , _ � _ , -
<br /> '�GBM➢?1WY
<br /> SIGPIATURE ^. - • '- " ` " REGISTERED` Y/ N.... FEe CuttRe� ' Y/N
<br /> Addre�s� � , _ �� - � - - - � � . Ucense#����.� • -�
<br /> , �. , ,.._ : �, , .,,;, ;. ,r ,.,..�,
<br /> RESIDENTIAtI�.'° A�taiioti'{2�wPtot�_P,lans,;{2)sets:of=Bullding='Plans;'{1)set ofrEnergy�Foiir�s;R=0-1+it�Permlt for new constructioa, _ �
<br /> -. �::Minimum.ten; 1.0.workin ,da ' ��
<br /> ,rv .("),, , „ g , ys�aftersubmlttal date:<<Requlred onslte;:Constru68on Plans;�StortnwaterPlans w/SIIt Fence installeii,
<br /> � �SanitaryfaciltUes:&;:1,>,dumpsterYSlte;Work;Permit#orsubdiVision_"sAarge<proJects;,. -::;,, � . '
<br /> COMMERCIAl. Aitach{3}complete sets'af'Bullding Plans plus a l.tfe SafeEy Page;(1}set of Enetgy Forms.R O-W Pennit for new canstnscUon.
<br /> Minimum ten(10)working days after submittal date. Requfred onsite,Constructlon Plans,Stormwater Plans w/Sflt Fence installed,
<br /> Sanitary FadiiUas&1 dumpster.Site Work Pertnit for alt new:proJects..All commercla!requlremenls_must meet compflance `'
<br /> SIGN PERMIT Attacti"{2}sets af Engiiieered:Ptaiis::.,:, ,=Y '� .. _.
<br /> "••«PROPERTY SU�tVEY required fqr all NEW construc.tlon. ,
<br /> Dlrectians: _ �. . . ,
<br /> Ffli out applicadon compietely.
<br /> Owner 8 Cantractor sign bacic of appltcaflon.notarixed
<br /> If aver�2500,a Notice of Cammencement Is raquFred. (�VC upgtadas over�750U) ,
<br /> � '" Agent(for the`contractor)or Power of Attoriiey(for tiie owner)wpuld be someone with natarized letter fram owner autharizing same
<br /> DYER TFFE CCtl1NTER PERM1'i'fFNG --- �(Front of-Applicatlon•Only} -
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIaUSurveylFootage)
<br /> driveways•Not over Counter if an public roaduiays,.needs ROW �
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