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�:_; � 813-780-0020 Ciry of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Building Department <br /> � Date�Recelved Phone ContactforPermitting [3 � Z — �.Z� <br /> Owner's Name ��L1 rlr I((�� Q(Q_ � Owner Phone Number <br /> Owner's Address �V 5��Clfit�- S �W �� Owner Phone Number <br /> Fee 5Tmpfe°Titlehofder Name Owner Phone Number <br /> Fee Simple TlUeholder Address <br /> JOBADDRESS 1DVc5 V� V1��� YJj^_Ze ..�S LOT# � <br /> SUBDIVISION YLLY�YI�����(S,�'Q PARCELID# 'V2-Z�--Z.I���—�,�'�j��Q- QQI� <br /> (OBTAINEO FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q �EMOLISH <br /> -INSTALL REPAIR <br /> �PROPOSED'USE � SFR Q COMM � OTH6R , <br /> TYPE OF CONSTRUC110P1 Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � UL rQ, � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �� <br /> o• <br /> BUIL�ING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q` �ROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ��I C, / <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � 1 �1 <br /> �� <br />� QGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO /, I <br />, � V <br /> �� <br /> � <br /> BIiILDER COMPANY P'-��lRl�� F� <br /> SIGNATURE C�i,�'� REGISTEREO / N FEE CURRE� N <br /> i Address pq��l., ` �V�Z , 35�i,� Lfcense# l_l� ��J� <br /> ELECTRICIA(V COMPANY <br />' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COM?ANY <br /> STGNATURE REGISTERED `Y/ N� ' FEE CURREA , Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGTdATURE REGISTERED Y J N . .FEE Cl1RRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Sil[Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Woric Pertnit for subdivislonsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Buildfng Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minlmum ten(10)working days after submittal date. Required onslte,Constructlon Plans,Stortnwa[er Plans w/Silt Fence installed, <br /> Sanitary Facflities&1 dumpster.Site Work PermiE for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"`PROPERTI'SURVEY requfred for all NEW constructlon. <br /> Directions:' - - - - - - <br /> Fll out application completely: <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice oi Commencement is requtred. (A!C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contrect required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) ' <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />� � <br />