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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
<br /> � Building Department
<br /> Daie Recex ed y � Phane Contact for Permitting.- -
<br /> Owrner's Name �� (R� �°�'�i -/ Owner Phane Idumber � g�� `
<br /> Own�r's Address
<br /> `j � Owner Phone Number �� �
<br /> Fee Simple Tikleholder Name � � Owner Phone Number �- �
<br /> Fee Simple Ti#leholder Address
<br /> JOB A[1DR�SS `�-� Z�/�✓ LOT# �
<br /> SUBDIViS10N � � PARCEL ID#
<br /> (OBTAlIdBD FROM PROPERTY TAX NOTICE)
<br /> WQRK PROPOSED � e .. NEW CONSTR � Ai}DlALT [� SIGN Q � Q DEMOLiSH
<br /> INSTALI. REPAIR
<br /> PROP..08ED USE Q SFR � COMM � OTHEF2 :
<br /> TYPE"OF CONSTRUCTION Q BLOCK • Q FRi4ME ��. STEEL Q
<br /> ,_ � �.-- � � a �1
<br /> DESGRIPTION OF WORK c�
<br /> BUiLL11NG SIZE SQ FOOTAGE��� HEIGHT �
<br /> .r "•p'_
<br /> C�������N� �6 u�} �,�� � VALUATIOIV�OF TOTAL CQNSTRUCTION
<br /> >�l
<br /> .;[�ELECTRICAL � � AMP SEF2VICE Q PRCiGRESS ENERGY Q W.R.E.C,
<br /> QP�t1MBING �� �
<br /> 1��
<br /> QMECHANIGAL $ VALUATIQN OF MECHANICAL INSTALlAT1QN �(„�
<br /> 1)
<br /> ��s C] RooEi�v� Q SPECIAl.TY � a����
<br /> FINISHED F400R ELEVATIONS �`---�-� FLOOD ZONE AF2EA QXES NO
<br /> -.BUItDER CQR�PANY
<br /> SIGRIATURE REGISTERED Y-/ N FEE CURRE� Y/N
<br /> Address -License# i �
<br /> : .ELEGTRi,G1AN ,-. CQMPANY
<br /> '. SIGNi4TURE REGISTEREp Y/ N �FEE CURRE� Y/N.
<br /> �
<br /> . Address � - License# �- �
<br /> P.GUMB�jt,,:, GOMPANY
<br /> 'SIGNATURE REGISTEREp Y•/>N � .FeE CURRE� " Y/N
<br /> � Y _r..
<br /> �ddress - License#•�� �
<br /> .. �{` .-� � ,
<br /> .'.MECHAMICAt: � CpMPANY ! 1� 11I 3
<br /> '"';SIGNATURE'-' " � � REGISTEREp , Y N_ � FEE CURRE�� /N . '
<br /> ,�aa�ess=' �v` � d/ License# , J �
<br /> ".�ii;: . , ,
<br /> `,.OTHEP2'�:N��°'. ' � C.OMP,4tdY
<br /> `��=SIGNATUREri;;'`c � �� ` REGISTERED Y/�N FEE CURREK Y/N
<br /> , Aildress•_ ^ - -;',� _ " . Licen'se# �� i�
<br /> ;:"f'i _
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<br /> ���r°RESIDENTtAt.:,,=,' ,`Attach;(2)�'Plot"zPlans;•'(2)4sets of;BuildingsPians;'(1)°set of-Energy�Foriiis;R-0=1�tt.Permit,for'new.canstiuctlon,. �
<br /> m� � Mlnimum�tenF(10,),.working;iiays'after sulimittal�dafe:Reqwred onsite;�Constr`uction Plans;Stormwate,r Plans w/Silt Fence installed, _
<br /> �.>..9.., j". ... - ^-�' " Z; ' _ . . -
<br /> '<�-- San[tary;iFacilitiesw&1._dumpster;�Sife;Wor,k Pemiit far�subdivisionsllarge projeets -� -� - � �
<br /> - ;���GOMMEitCiAL Attach�j2j�complefe'sets�of"Builiiing Ptan's plus a'Life Safety Page;(1}set of Energy Farms.R-C?-W Permit"ior new construction.
<br /> � Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Starmwater Plans w/Silt Fence installed,
<br /> ` 3anitary Facilit(es&s'i dumpster.,Site;WorJc Permit fo��all new projecfs.Ali c�mmerciat requirements must mest campifance
<br /> ;:SIGN�PERNIIT "AttacFi"(2�se4s_ofEng(neered'Plans:�{ . -- - `
<br /> "***PROPERTY SUR1iEY required for.all NEW constructlon:. _ -
<br /> '��'�Directions: ,_ _.i':; , �
<br /> � � Filloutapplication comqletely.
<br /> ��:t3wner'&Contrac#ar stgn 6ack of appt9catian,notarized
<br /> 'If over$2500,a Notiae:af:Commencement.is required. (A/C upgrades over$75Q0) _
<br /> '�:;�, �' °z:`''�
<br /> r.�, _ = Agent�{for�tt�e�corittactor-)'ar°Power af Atiomey(for'Uie owr�er)wouid tie someone with notarized letter from owner authorizing same
<br /> rr�;OVER':THE�COUNTER:PERMITtING,. (copy.of-contracYrequired) '�"Y`' �y " -
<br /> �""Reioofs if sfiingles Sewers Servlce Upgtades AfC Fences(PIoUSurvey/Fqatage)
<br /> Driveways-Not over Counter if4:an.public��oadways::neeils ROW1 • � -
<br /> _.. .i_-,. � . !�'..'�f:'_ii: .
<br /> � � � �'2.r'��ti; '(?2;;�. . � ..':y` :
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