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a��-�eo-oo2o City of Zephyrhiils Permit Application Fax-813-780-0021 �
<br /> Building Departrnent .
<br /> Date Recelved � �i .� Phone Contact for�Permittln . —
<br /> Ow�er's Name ` v 1 ►�l � Owner Phone Number � ✓ �
<br /> Owner's Addrass ��� �' Owner Phone Number �
<br /> Fee Simple Titleholder-Name Owrier Phone Number T I
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS � LOT# � �
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<br /> SUBDIVISION P.ARCEL ID# ! ' D��tJ J ((.(�'�(� `�(� � I
<br /> � , (O TAINED FROM PROPERT1f,TAX NOTICE) �
<br /> WORK PROPOSED. �:NEW CONSTR' ADD/ALT Q SIGN Q Q DEMOLISH I
<br /> •,e.� INSTALL ,� ; REPAIR � - �
<br /> PROPOSED�USE , - � SFR - [� �COMM � ' Q OTHER � �
<br /> TYPE OF CONSTRUCTION Q� � BLOCK ' Q FRAME Q STEEL Q I
<br /> DE3CRIPTION OF WORK ' s'` 11L l� �� �7•,� ��P • �v
<br /> BUILDING"S12E � � � � S�FOOTAGE � .HEf,GHT , .,
<br /> �BUILDING $ �- �d,� ' - , I
<br /> � � VALUATION;OF TOTAL CONSTRUCTION I
<br /> QELECTRIGAL $ " AMP SERVICE Q 'PROGRESS ENERGY Q W.R.E.C, i
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<br /> QPLUMBING $ _ � i
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<br /> QMECHANICAL ' $ VALUATION OF MECHANICAL INSTALLATION
<br /> QG�4S Q ROOFING Q SPECIALTY Q OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
<br /> BUILDER � i COMPAN,�(' ����-+�. I
<br /> SIGNATUR _ �ISTfl�D Y/ N �FEE CURRE� Y/N I
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<br /> Address ' � � Cicense# '� � ,'
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<br /> ELECTRICIAN• : . .CpMpqNy - • � I
<br /> SIGNATURE � REGISTERED Y/ N FEE CURRE�`t ` �'Y/N
<br /> Address � � � ,-. License:# � I
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<br /> PLUMBER ' : , . � COAAPANY � ; , �. . , i
<br /> SIGNATURE' " ���` „ REGISTERED.. Y./.N�. :- :rFEE CURRE�. •- '. Y/N.
<br /> Address � . Ucense,# � _ I
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<br /> MECHANICAL�� . . ` COMPANY . , � , � I
<br /> SIGNATURE - _ ' -" ' ' ' � . , � �
<br /> F3EGISTERED Y,./ N , ; FEECURRED . . X,/�N .
<br /> Address; . `r � . � .. - .t: .- . ' Licens,e# . - i �'
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<br /> OTHER � -',� . - ` " - ;COMPA"NY , , , t � �
<br /> SIGNATURE .. . : , ' • , " , . '� Y"` ,
<br /> '` "'^ 'REGISTERED' ,' Y/ N..;. .Fee cuw��" Y/N�
<br /> Address �- ; ..�, • , � . . � License#�' �
<br /> C. , .-•_�.. ..,.-...._', T` 'Sr�ti.:' :. ,. k�:.:.: . .. . : ' .., , e ,- - .' i�. � I
<br /> RESIDENTIAL; AttacFi;(2)„PIot�P.lans;;.(2)sets`of�Building'�Flans;''(1)5et'of Energy.Fortns;,R-0=W'Per_mitfor new construction, " -
<br /> +7 i ri. •;
<br /> -� -_�a-Minimum,ten-,(1.0);working;'days atter�subrriiftaFdate:r.Requlred onslte,:C:onstnicdon:Pians,'Stormwate�"Plans w/Silt�Fence tnstalled, �
<br /> � �Sanita'ryFacllfties:&�;1,*dumpsterrSlte�Work�,PermitfocsutidivislonsAarge;projects; -`;-..:: - ' � � �
<br /> COMMERCIAL Attach(3)`com'plete set's�of Builtlin`g"Plans plus a Life'Safety Page;(1)set of Energy Forins.R-O-W Permit for new construction.
<br /> Minimum ten(10)working days after submittal date. Required onsite,ConsUucUon Plans,Stortnwater Plans w/Silt Fence installed, �
<br /> Sanitary Facflides 8 1 dumpster.Site Work Permit for all,new.proJects..All commerGal requirements_must meet compliance '' I • �
<br /> ..SIGN PERMIT Attacfi(2)sets of Engineered;Plans:,s--.,. ^-=- : � .. � �
<br /> ""PROPERTY SURVEY required for all NEW,construcUon. . �
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<br /> .Directlons: .. .,.., , . i
<br /> Fill out epplicaUon completely.
<br /> Owner 8 Contractor sign back of appltcaUon,noharized � I
<br /> If,over 52500,a Notice of,Commencement la required. (A!C upgrades over 5T500) , '
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<br /> Agent(for the contraoto�)�'or Powe`r of Attomey`(fo�ttie owner)would be'someone virith notarized letter from owner authorizing same �
<br /> �VER THE COUNTER.PERMITTING- --- �(Front-of-Application-Only) ., .,� , , � I
<br /> Reroofs If shingles Sewers , Service'Upgrades A/C,'� ' Eences(PIoVSurvey/Footage) . , , _
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<br /> Driveways-Not over Counter If.;on publfc'roadways.:needs.ROV1l�' , • • i
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