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a�s-�eo-oozo City of Zephyrhilis Permit Application Fax-813-780-0027 <br /> Building Department <br /> Date Received � Phone Contact for Permitting U�j �� - S��l <br /> OwnersName G" ��G �/" /� OwrierPhoneNumber ���' '�v� j <br /> cOwnersAddress oZ�/77 /�?H G���2 �a OwnerPhoneNumber <br /> WV��,�IL r n'1� �. � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simpie TitleholderAddress <br /> JOB ADDRESS �� � �✓� �1'L GL �'r r h i (S � 3 3 z`� LOT# a� <br /> SUBDIVISION �f,'PST<< ✓�t�.S PARCEL ID# � 01 "°2� -�/�u� ����'� + ��` v <br /> (OBTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED �NEw CONsiR e ADDfALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q 1 n�`'� <br /> r /� �UVOc� c1 eC� i S <br /> DESCRIPTION OF WORK C�! �(dYL�/�I Pl.�/ WOD� �GI� ��L L K.�S�i kS Cvk �� 3�(x/� <br /> �t e r etc:s��K,$ <br /> BUILDING SIZE oZ �2] SQ FOOTAGE 3U U HEIGHT � /'da�F <br /> TITrT!"[TTrrrTl"7Tr1�1'7Tr1�TrTS�TT�TT[�TITI�TT�TI"ITl"t�r1TT1"IT <br /> QBUILDING �3�UV•U f� VALUATIONOFTOTALCONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q' PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ •���` � /] <br /> � � 2��,��e �sf���CJ� <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ���ef� fj <br /> W`�""'� �'�v- <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER „ ,�r��-- <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO L <br /> I �.,-r�.......rT......rr::.;T:-r�.�....r...r._._...r�:,.,r..rr.�....r...r._...r � � ��'�`-�'� C�' <br /> BUILDER /�✓ �COMPANY UnS�a�P lLL Id�l M(.� �"`V � <br /> SIGNATURE � �a/ REGISTERED Y/ N FEECURREA Y/N <br /> Address S�� •���N /�d' � � 3 3 d` ucense# �/�-��Sb�`7 <br /> � � <br /> ELECTRICIAN, ' ��OMPANY � � -� <br /> SIGNATURE REGISTERED Y/ N FEECURRE� Y/N <br /> Address C( � { �, !� 4 � -�1.7 IIS��S°/d--�Icense# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRE� Y/N <br /> Address c� License# <br /> �. ! �y <br /> " MECHANICAL /��/ �� COMPANY /I/`S // /C' <br /> SIGNATURE y/ REGISTERE� Y/ N FEE CURREt� Y/N <br /> Address <br /> � .y � /��3 � '�y� ucense# �/9' � 3 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# <br /> IIIltlltlllll.11llltlllllllllllllllllllllllllllllltlllltlllllllttlll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consWction, <br /> Minfmum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Slit Fence installed, <br /> Sanitary Facllitfes 8 7 dumpster,Site Work Permit for subdivislonsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Bufiding Plans plus a Life Safety Page;(1)set of Energy Fortns.R-0-W Permit for new constructfon. <br /> Minimum ten(10)working days after submittal dale. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for ail new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Englneered Pians. <br /> • ""PROPER7Y SURVEY requfred for all NEW construction. <br /> -a-1--F�E-a-f-1--I-f-i-1-E-1-I--4-1-�f-1-1--1-1--I--1-4.1-1-1+1--f-f-4-f-t--t-4-i-�i-4-I�-t.-F-I.d�-1--Ft--Fi-f�-1-4-F-1-F-t-t-.I--{-i�-I-1--t-1- <br /> Dlrections: <br /> Fill out application completely. ' <br /> Owner 8 Contractor sign back of appifcaGon,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer aulhorizing same <br />' OVER THE COUNTER PERMITTING -(copy of contract required) "�- � - �-� - <br /> Reroofs if shingles' Sewers .Service Upgrades A/C Fences(PIoVSurvey/Footage) , , <br /> , � i -` <br /> Driveways-Not over Counter if on'public roadways..needs ROW � - <br /> + ' � - , ' , ' ' , , I <br /> � . .. � . • i. , � - -_.. � � <br />