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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
<br /> �• Building Department
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<br /> Date Received � �G�.�''� .Phone Contact for Permltting • —
<br /> Owner'�Name �-1 5�l 10(�1"Q Owner Phone Number
<br /> Owner's Address �23 �� � Owner Phone Number
<br /> Fee Simple Titleholder Plame Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS � 1 Z� �� S�• LOT# �
<br /> SUBDIVISION PARCEL ID# `'"�� ��7 " �''� �� � �' ��� d� �- U���
<br /> (OBTAINED FROM PROPERTY TAX NOTICE) �
<br /> WORK PROPOSED B :. NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH
<br /> INSTALL REPAIR
<br /> PROPOSED USE Q SFR Q COMM Q OTHER .
<br /> TYPE':OF CONSTRUCTION Q BLOCK •• Q FRAME 0 STEEL Q
<br /> ' R-e.h.hah �-,e,
<br /> DESCRIPTION OF WORK `I�.Y A SS�'a'�2 CI1�'-� Y h7 G�LI/1�riLtQ--e
<br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT •
<br /> QBUILDING $ VALUATIOfJ'OF TOTAL CONSTRUCTION
<br /> ELECTRICAL $ �c�d AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> J
<br /> OPLUMBING $ ���e " '�j ,
<br /> � ��
<br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' `�-
<br /> ,,�`�;
<br /> Q,GAS Q ROOFING Q SPECIALTY Q OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
<br /> BUILDER _ - COMPAIPlY
<br /> SIGMATURE REGISTERED Y/ N FEE CURREI� Y/N, .
<br /> Address License#
<br /> "ELEC;1'RICIAN • ^ c��I���)B� COMPANY l�ol� P'��-t'rfl�a �����'/ {Ys�t C'��SS �� �C
<br /> .. 'SIGNATURE � ��~ REGISTERED Y/ fV FEE CURRE� Y/N
<br /> Address License# C e �v�25 1(� ''
<br /> ,,t.. -
<br /> PCUMBER.;. _ COMPANY '
<br /> SIGNATURE REGISTERED Y•/ N_ FEE CURF2E� - Y/N
<br /> , Address ' License#
<br /> MECHANICAL COMPANY
<br /> ' SIGNATURE" � � REGISTERED � Y/ N FEE.CURRE� Y/N
<br /> Add�ess:" V -' License.# -
<br /> i4S.:._f' .., - . . .. -
<br /> ,_ OTHER;� "`. � � � ' � COMPANY
<br /> �:"SIGNATURE:,� .� _ - ' • - RE�isTEREo : Y/.N FEE CURRE� Y/N
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<br /> . Address;�.;., -%:: �• - � License#
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<br /> '::;RESIDENTIAL�:�.:':Attach�;(2)`:PIot.P.lans;.(2)isefs'ofBuildirigPlans;(1�)°setof�Ene�gy�Fo'rm§;R;O=W,Permiffornew.construction,, ,
<br /> . ry^;x�;w;.;;�;•,;Minimum�hen;(,10)�working;days afte��sutimittal.ilafe. :Required'onsite;'Constriiction'Plans;'Storinvirater�Plans.w/Silt Fence instailed,
<br /> �_ - �- � 3anita:ry.:,Facilities;8��;1�;dumpster;;Sife;Wodc-P-ermit:for.�:sutidivisions/large`projects` " " •� ` �
<br /> °=:COMMERCIAL Attach�(2f'-complete'sets'of'Buildirig Plans plus a L'ife Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
<br /> , Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
<br /> ;'%�` Sanitary Facilitles&1 dumpster,_Site Work Permit`fo��all•new•pFojects.All commercial requirements must meet compliance
<br /> ����'SIGN:PERMIT "Attach"(2)sets:ofiEngineered'Plans:,c. . . . . �
<br /> """*PROPERTI!SURVEY required for.all.NEW.construcBon:
<br /> �;r` - -� - _
<br /> �;Directions: . ..., : _. -
<br /> � " �_�Fil4:out�application completely.
<br /> - Owne�.&`Contraitor sign back of application,notarized
<br /> r "if over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
<br /> �"'` ..Agent(fortfi`e'conVactor)•or°Power of Attomey(for tFie owner)would tie someone with notarized letter from owner authorizing same
<br /> �:;OVER:THE-COUN7'ER;�PERM�TTING, ..., .(copy.of-contract-required) -
<br /> ; ;Reroofs'if shingles Sewers Service Upgrades A/C Fences(PIot/Survey/Footage)
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<br /> Driveways-Not over Counter�if on public roadvirays:.needs R01N.. u__,.�. : •� • •••- ' '
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