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3 <br /> ? �. <br /> � <br /> 813•780-0020 City of Zephyrhilis Permit Applicafiion Fax-813-780-0021 <br /> , • . Building Department <br /> Date Received � � Phone Contact foe Permittln I ��� <br /> Ownee's Plame l.-1� I�Q� Q� Ourner Phone Number <br /> Ownars�.ddress � QQ �5 � • ��, ^(� �uyner Phone Number � � <br /> Fee S(mple Tltleholder Name Owner Phone Number �— —1 <br /> Fee Simple Titl�holder Addr�sa <br /> JOBADDRESS � c.,� t LOY# IU{ <br /> SUBDIlIISIORf �'1 � CtU PARCEL IQ# ��I���� 0��–�d1(� –�����– Qa� <br /> (OBTAINED FROM PROPERTYTAX NOT1C� <br /> 1hlORK PROPOSED NEFN CONSTR RDD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR - <br /> PROPOSED IDSE Q SFR Q COMM � OTHER <br /> TYP@ OF CONSTRUCTIORt Q BLOCK ' Q FRAME [� STEEL Q <br /> DESCRIPTiOPI OF WORK Y\ ` � '�cJ �,I <br /> BUIl.DIPlG 51ZE SG!FOOTAGE� HEIGHT . <br /> Q�UILDING $ VALUATION�OF TOTAL CaNSTRUCTION <br /> QELECTRICAL $ ' AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� • �� � �,�j <br /> �t�.. <br /> OMECHAPIICAL $ VALUATIOiV OF MECHANICAL INSTALWTIOId � � " <br /> QGAS Q ROOFING .Q SPECIALTY Q OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZOfVE AREA QYES NO <br /> J< <br /> BUILDER GOAAPANY <br /> �IGNATURE Re�isrEFtEn Y/ N �Cutu�r. Y/N <br /> A�dre�s Llcense# <br /> �LECTRIClAPI COAAPANY - <br /> SfGNAYURE � REGISTERED Y/ Pd �E CURttEP Y/N <br /> �idcGPes� - Llcense# <br /> PLU(NBER CORAPANY <br /> ,IGW�TUiYE REG�STERED Y/ N . FEE CURREn Y/N <br /> Addr�s� License# <br /> V19ECH�fICAi. COIVIPANY <br /> SIGNATURE REGISTERED Y./ N Flee Cu� Y/N <br /> Address � .License# <br /> OYHER co�nPaw�r . " � C'�50�t1 . 1Y�1. C�}�i��l <br /> SIGN�►YURE REGISTERED Y/ N._- �cu� Y/N <br /> ��dlress "rJ" �' �i.l le.m License# I �J� � ��Jo� <br /> RESIDENTIAL' - �Attacfi(2).,Plof Plans;(2)sets_of Building•Plans;(1)set of Energy�Foims;.R-O W Permit for new constructlon, <br /> Minimum.ten(10)wodcing days aiter,submittal date. Requtreil onslte;Gonstniction Plans;Stormwater'Plans w/SIIt Fence installed. <br /> Sanitary Facp(yes.&:1..dumpster,-Site Work:Permit{or subdivislohs/large:projects = _ _ <br /> - COWIARERCIAI. Attach(3)eomplate-sets of Bullding Plans plus a Life Sefety Page;(1)set of Energy Forms.R O W Permit for new construcdon. <br /> Minimum ten(10)woricing days after submittal date. Requtred onsite,ConsWcUon Plans,Stormwater Plans w/Sfit Fence Instelled, <br /> Sanitary Facllides&1 dumpster.Site Work Permit for all new projects.All commerGal requlremenfs.must meet compliance <br /> SIGPi PERN�IT AttacFi(2)sets of Engineered Plans. - <br /> ""PROPERTY SURVEY required for all NEW consWctlon. _ <br /> Dir�ctlona: <br /> FlII aut appiicatlon completely. <br /> Owner&Contractor sign badc of appliqtlon,notarized � <br /> if over$2500,a No41ae of Commenc�m�nt is required, (AfC upgr�des ov�r$�500) <br /> " �gent(for the contractor)or Pbwer of Attamey(for ttie owner)would be someone with notadaed letter from owner authorizing same <br /> OVER YtIE COUW'�ER PERMITi1NG , �(Front of.Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drivewaya-Not over Counter if on public roadways..need§ROW <br />