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s,s-�so-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Receiced �. '7 Z S ��j �phone Contact for Permltting ��3 d�� _ 6 �f� <br /> "Owner's Mame ��/��� v(v P P,� Owner Phone Number ��� ��J/�"��� <br /> Owner's Address .3�/3� j'ne�r��,�/-�� �' � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Numb�r <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS .�� / 3� �e`���e� . �`S C� LOT# �� / � <br /> SUBDIVISION C�� �� PARCEL ID# 3 y 2'�",�I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e , NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK - Q FRAME � STEEL Q <br /> z <br /> DESCRIPTION OF WORK � i"�� Ch�� �� ��S��I vl��✓ R� In c���...� 7�. /� C ��o�-�v �t�n c tii•� <br /> � <br /> BUILDING SIZE SQ FOOTAGE z/�g HEIGHT � S <br /> OBUILDING $ VALUATION'�OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> `�MECHANICAL $ � VALUATION OF M�CHANICAL INSTALLATION <br /> � �� E�. <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO Ii <br /> BUILDER COMPANY II <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I <br /> Address License# I <br /> ELECTRICIAN COMPAPIY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL � � �� COMPANY �� � !'I A 5 � -�� C <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address- License# C� �oS.�SO� <br /> OTHER ' COMF?ANY <br /> SIGNATURE _ REGISTERED Y/ N . FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL � Attach(2)Plot Plans;'(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum•-ten(10)working�days after submittai date. Required onsite,Constniction Plans,Stormwater Plans w/Silt Fence installed, <br /> — - --- Sanitary Facilities&1 dumpster;Site Work Perrnit for sub�ivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new wnstruction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster.Site Work Permit foF all new projects.All commercial requirements must meet compliance � <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. , <br /> ""PROPERTY SURVEY required for all NEW construction. ' <br /> Directions: + <br /> Fill out application completely. � � � <br /> Owner 8�Contractor sign back of application,notarized ' <br /> If over$2500,a Notice of CommencemenYis required. (A!C upgrades over$7500) �, � � <br /> " Agent(for th'e-contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of-contract required) � -_.:..�, _ , _ _ <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) , , � �� � - '� ;' <br /> _ ... .� _:.....-.. ,. .. :,,.. .. _ � 3 I <br /> DNveways-Not over Counter if on public roaiiways:.needs ROW�.' '•. 4 , "' , � _ .`; ; <br /> � , ,. ; . . �� ` .< � , ,- ,,. .. .. .._. " . .._._ , r <br />