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s�s-78o-00�o City of Zephyrhilis Permit Application Fax-813-780-0021
<br /> • Building Department
<br /> Date Received � a� �� Phone Contact for Permitting • �� �� — �O�-���
<br /> � ('J 2 /'/�
<br /> Owner's Name �,S Owner Phone tdumber O�J'�/ 7� ��7�
<br /> Owner's Address � /� J� Owner Phone Number
<br /> Fee Simple Titleholder Name Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS J c�W�uL Cl7"'� ciZ641/��— LOT# �
<br /> SUBDIVISION PARCEL ID#
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROP.OSED � B ,, NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH
<br /> INSTALL REPAIR
<br /> PROP,,OSED USE. Q SFR Q COMM 0 OTHER
<br /> TYPE'OF COP1STRl1CTION Q BLOCK • Q FRAME 0 STEEL Q
<br /> .. �1
<br /> DESCRIPTION OF WORK ��S
<br /> BUIL�ING SIZE I� X �9 SQ FOOTAGE�� HEIGHT •
<br /> QBUILDING $ �fOo� Q� VALUATION'OF TOTAL CONSTRIJCTION
<br /> /'
<br /> QELECl'RICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> QPLUMBING $
<br /> /�3ro �
<br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � !
<br /> I,
<br /> QG,4S Q ROOFING Q SPECIALTY 0 OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
<br /> �
<br /> BUILDER `J �, �C�Y �'� D W`��j
<br /> SIGNATURE ���'� REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License#
<br /> 'ELECTRICIAPI COIM PANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address - - License# �
<br /> PCUMBER.,,„ COMPANY '
<br /> 31GNATURE REGISTERED Y•/ N • FEE CURRE� Y/N
<br /> , Address �� License#' �
<br /> �- .MECHi4NICAL � COMPANY
<br /> '� SIGNATURE' � REGISTERED , Y/ N FEE CURRE� Y/N : ti � -
<br /> Address-=' '• L•icense.#
<br /> ,,:�;�,.,
<br /> :. .OTHER° `�"- " � COMPANY
<br /> �`�SIGNATUREi, � � '� REGISTERED Y/ N FEE CURREK Y/N
<br /> r�. ...•?'.-� � , . � . ..
<br /> -Address.:,: ���- _ � •� ' License# ,
<br /> ;,,s ..-... , _ -
<br /> '��'.RESID.EPiTIAL-��;; Attacti:;(2).Plot Plans;s(2)�sefs ofaBuilding Plans;`(1•)�set'of�Energy'Forms;R=O=W�eiiriiLfor_new.constructlon,- _ _
<br /> � �.e,��x;;-;:+,.��•-::Minimum;ten�;(,10)wo.r.king;cJays afte��su6inittal�dafe.=Required'onsite;Constr'uction Plans,�Storinwater Plans w/Silt Fence installed,
<br /> . .��'S.4,:i.. ._ •» w . �
<br /> Sanitary Facilities,&1�dumpster Site;Work Permit for:,subdivisions/large'proJects'
<br /> �'�f:COMMER6IAL Attach(2)complete�sets`of Bullding Plans�plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
<br /> ' " � Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
<br /> - Sanitary FacilfUes 8 1 dumpster.Site Work Permit fo��all•new.projects.All commercial requirements.must meet compliance
<br /> 1�.;SIGN�:PERMIT �Attaoh'(2jsets:of�,Engineered:Plans:��� .: � •
<br /> '"**PROPERTY SURVEY,required fo[.aII.NEW construction..
<br /> J�_Di�ecticns: � ,.,, .
<br /> '� � Fllltout application completely.
<br /> , �O,wner:&ContraGtor sign 6ack of application,notarized
<br /> , If over$2500,a Notiae of Commencement is required. (AIC upgrades over$7500)
<br /> :" i4 ent for�tti'e�conNactor or Power'of Attome for'tFie oinrne� would tie someone with notarized letter from owner authorizin same
<br /> 9 � �-,.. ,. ) Y� ) 9
<br /> +".OVER;THE COUNTER�PERMITI'IN.G. ,._ (copy..of contract-required) ' '�� " � --
<br /> �.`Reroofs if'sfiingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
<br /> . .�...._.�-<.._<..,,.-...� ._..
<br /> Driveways-Not ovec_Counter if on public roadways..need§ROVU � ' °y '`'' =�r�'�'�`�='� ��'="
<br /> '�._\ ,.�'�� :rJ��i� i..c..,.,'ii J^
<br /> '�� .. � � ;Jl... �." . �.i._. '
<br /> �'_ t' . .' - - �' - - -�. ,. .. . 4
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