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a�3-7so-aaaa C�ty of Zephyrhilis Permit r�pplica#ion Fax-813-780-0021
<br /> •• Building Department
<br /> Date F�eceived a ?j ��- Phone ConYact for Permittin -
<br /> S�"
<br /> Owner's Name Owner Phone Number
<br /> Owner's Address � �b Owner.PF►one Number �! �
<br /> Fee Sirnple Titleholder Name � � Owner Phone Number � ! 1.
<br /> Fee Simple Titlehofder Address
<br /> J08 ADDEtESS LOT# �
<br /> SUBDlVlBlON � �� PARCEL ID#
<br /> (OBTAtNEp PRQM PROFERTY TAX NOTICE}
<br /> WORK PROPOSED � e .. NEW CONSTR 8 ADD/ALT [� SIGN Q [� DEMGILISH
<br /> IRISTALL F2EAAIR
<br /> PROP.,OSED USE C] SFR Q GOM(V� [� OTHER .
<br /> TYPE"OF CONSTRUC`TION Q BLOCK �- Q FRAME � STEE1. Q �
<br /> �
<br /> DESGRiPTiON OF WORK � � l'� � � � ' L
<br /> BUlLDltdG SlZE � � SQ POQTAGE��_,� HEIGHT �
<br /> [�BUILDING $ /� VALUATION'OF TOTAL CONSTRUCTION
<br /> jf—�
<br /> �ELECTRICAL ($ —'_-_� RMP SERVICE Q PFtOGRESS ENERGY [� W.R.E.C.
<br /> , �— .
<br /> QPLUMBING �-� �
<br /> [�MECtiAN1CAL $ VALUATION OF NiECHANICAL INSTALlATION
<br /> � r �� °
<br /> Q;GAS Q ROfJFtNG Q SPECIALTY [� OTHER
<br /> FINISFiED FLOOR ELEVATIONS � FLOOD ZONE AREA DYES NO
<br /> •BUILDEit ✓ COMPAh1Y
<br /> SIGNATURE REGISTEREp Y"J N FEE CURREfi Y%IV
<br /> Address � License.# { �
<br /> � :ELEGTRI,CIAN COIIAPANY
<br /> :.,SiGNATUFtE REGISTERED Y I N FEE CURRE� Y I N.
<br /> Address Ltcense# � "�
<br /> =,.°• • - .
<br /> Pl:UIVlBE#t.,, , COiUlPANY� �
<br /> �SIGNATUREs� REGISTERED Y�I`N FEE CURRE� Y/N
<br /> _ Address, License#`�---�
<br /> .MEG}iAldlCAL' � CONIPANY
<br /> � SIGNATURE'' " ReG�sr�REo , Y I Pl FEE CURRE� Y/N �
<br /> Aiid�ess-�- � � ' License# � �
<br /> ��;#r�. - ... . �—
<br /> =..OTHER'= ''--:r 44' ` C,OMPANY "
<br /> :`�'SIGNA7't1RE;3-:�°:.: ..+ - """ ' ' REGISTERED Y I.N FEE CURRE�' Y/N
<br /> �Address;� � , , . ° , _ Llceiise# � � �
<br /> „�
<br /> ..,.,
<br /> :.N,-: :.:�:'`., _ .. , . •- .. _ . : •� ••�� � ���..._ . _ ... . . _ �
<br /> "<'-.RESlpENT1AL,=<,�'`A ctiy 2.`�Plof',P.l`ans�'2'sets<o��Buildin Plans; 1•`set of�Ene FoRns;R=0-V11 Permit,for new,constcuction
<br /> '� , ,.�:�„� ) ,� )° 9' � )
<br /> _ w,.. r9Y'. �
<br /> x-> ��+���� �°Minimum;tepL(,iQ)'working'sc�ays�afte�sutimittal:clate."Requireil`onsite;Construction Plans,`Stormti+ater Plans wl Silt Fence instalied, -
<br /> :.. .c '��w."Yu'.4..�.2;�+.�+."�• . .. . , z.
<br /> �-,,u<. ,,. Sanitary.LFac�lities�&xl�dumpste�;;'Si#eiWor,kPetmit#orsitbdivisionsl(arge.prajects - �'.� � �
<br /> :COMlI�ERGIAL Attach�(2)`complete sets ofBuilding Plans plus a Life Sa#ety Page;{1)set of Energy Fortns.R-O-W Permit for new canstruction.
<br /> ' - Minimum ten(10)working days after submittal date, Required onsite,Construction Plans,Stormwater Pians w!Sitt Fence instailed,.
<br /> ;�`.< Santtary Faciiities&7 dumpster;Site:Work Permit foT�ali�new projecfs..All commercial requirements must meet compiiance
<br /> r.�_..
<br /> ;::=�SIGN:FERMIT At#acti"(2)sets;qf;Engineered Fi�ns::�� .. _� ,
<br /> ^"�� "*"PROpERTY SUR1%EY required,for a11:NEW construction.
<br /> �"'. .
<br /> ;.>.�._;_ - .._...��.... ._._�.__ -
<br /> �.JE'.. ' ' _ _
<br /> ;aIT@Ct�Qt1S: .. :. ' .
<br /> - `, Fi8?out appllcatlon completely.
<br /> �': `Owne�_&Contractar sign 6ack of application,notarized
<br /> If baer-$2300;a Aiotice.af:Gammencemer�t is raquired. (AIG etpgrades aver$T500} ,
<br /> �='*•` Agent'(for'�the�confractbr)°orPower�ofiAttomey{for"tEie avurte�}would tie someone with nota�ed,letter from awner autharizing same
<br /> <;�xt,1VEt2'.THE�CdUNTER�PERM17TtNG. (copy..af:cantract-.requlredj '�� �+."-:` -- - -
<br /> '"�Re�oofs_ff stiingies � Sewers Secvice Up�rades A!C Fences(PlotlSurvey/Faotage)
<br /> � Driveways-Not over Gaunter if on public-roadways:.needs RUW �
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