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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
<br /> • Building Department
<br /> Date Received• ��0 r-p'�-�� Phone Contact for Permitting • �1 �a� — �Q S� i
<br /> Owner's Name � . Gl/l� ' (� . Owner Phone Number
<br /> Owner's Address l�r�/�1 !� 5�1'"UE' 'l Owner Phone Plumber
<br /> Fee Simple Titleholder Name Owner Phone Number
<br /> Fee Simple Titlehoider Address
<br /> JOB ADDRESS ���!� -Uh� /`�/�()C� �� • Zp LOT# �
<br /> SUBDIVISION PARCEL ID#
<br /> (08TAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED B NSTALLSTR e REPAIR � SIGN Q � Q DEMOLISH
<br /> PROP.,OSED USE ' Q SFR Q COMM 0 OTHER .
<br /> TYPE':OF CONSTRUCTION Q BLOCK • Q FRAME Q STEEL Q �
<br /> DESCRIPTION OF WORK � l-� �� � /�, �LrC' �
<br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �.
<br /> OBUILDING $ ��/'��1' VALUATION'OF TOTAL CONSTRUCTION
<br /> (�(/
<br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
<br /> QPLUMBING $
<br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
<br /> Q,GAS � ROOFING Q SPECIALTY 0 OTHER
<br /> FINISHED FLOOR ELEVATION FLOOD ZONE AREA QYES NO
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<br /> BUILDER COMPANY L�C�� � ���U'' �d'�/'� �
<br /> SIGNATURE REGISTERED ' N FEE CURRE�. Y/N
<br /> Address "License#
<br /> ELECTRI,CIAN COMPANY
<br /> SIGNATURE REGISTERED Y/ N ' - FEE CURRE� Y/N.
<br /> Address` License# i
<br /> �F:
<br /> PLUMBER;; CONIPANY�
<br /> SIGNATURE - REGISTERED Y�/ N FEE CURRE� Y/N
<br /> Address License#-:�
<br /> MECHANICAL � . COMPANY
<br /> �' .SIGN%4TURE�" ' ` REGISTERED ; Y/ N. FEE.cu�ten . Y/N .; �
<br /> Ad'dres"s� { - ' ' License.# - -
<br /> , OTHER' ,..:...�, .: ' • , COMPANY .
<br /> ''SIGNATURE�i�;,� = -- - REGISTERED Y/ N Fee cuw�en' Y/N
<br /> _ ,. , , , . . .. .
<br /> Address;�- _ :�f - � License#
<br /> =��,;,, ;;,,,,, ,, _ , , . � �
<br /> �'�rzRESIDENTIAL�:,'"Attaclj;(2);RIoC:P.laris';;(2)sets�ofBuilding=Plans;(1•)'set of�Energy.Forms;R=0,=1N Permitfor new.construction, �
<br /> .. ;e,,;;s;�,.-;;� •:Minimum;ten=(10)working,days;after=sutiinittal=date. Required`onsite;�GonstriictionPlans,�Stormwater�Plansw/SIItFenceinstalled,
<br /> ;-: '� � � San,itary;Facilities,&s1.;dumpster;Sife;Wor,1c Permit.for;subdivisions/large'proJects� - ' -' � -
<br /> =-�;COMMERCIAL Attach�'(2)�corriplete`sets of'Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new•construction.
<br /> -� - Minimum ten(10)working days after submittal date. Required onsite,ConsUuction Plans,Stormwater Plans wl Silt Fence installed,
<br /> `` �' San(tary Facilities 8 1 dumpster.Site Work Permit fo�-all new projects.All commercial requirements must meet compliance
<br /> ��::;SIGN.PERMIT "'AttacFi�(2)sets-of;EngineeredsPlans.�6:. >�; - -
<br /> •- *"'PROPERTY SIJRVEY.required for aII.NEW construction. - ,
<br /> '?zDi�ectloris: _ ,_ , , -
<br /> ° Fill::out application completely.
<br /> "Owne�'&Contractorsign back of application,notarized
<br /> '' If over-$2500;a Notice.of:Commencement is required. (AIC upgrades over$7500) ,
<br /> '`"--';; .AgenY(fo��fFi'e�contracto�)rorPower of Attomey.(for'tFie owner)would tie someone with notarized 1etter from owner authorizing same
<br /> �,:OVER:THE.COl1NTER;PERMI;RING.:..:: �:;(copy_of•contract.required)= -' � ' -
<br /> �;Re�oofsifshingles Sewers ; Service"Upgraid'es'A/C Fences(PlotlSurvey/Footage)
<br /> ' Driveways-Not over Counter if on putilic�'roadways.'n'eeds ROW'.� :'
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