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813-780-0020 City of Zephyrhilis Permit Application FaX-$�aaso-oo2� ,
<br /> Building Department '�'
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<br /> Date Recelved =. Phone Contact for Permlttin — -
<br /> Owner's Name � Owner Phone Number �3����� -
<br /> Owner's Address D"F a�',� I Owner Phone.Number
<br /> � ' - � . , :
<br /> Fee Simple iTitleholder Name - � - Owner Phone Numbe� •' '
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<br /> � � � -
<br /> Fee Simple Titleholder dddress .
<br /> JOB ADDRESS � U� �� �'� LOT# �
<br /> SUBDIVISION PARCEL ID# �o'-(O��� rbQ'���0 ' ��Q QO�V
<br /> � , , (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED �NEW.CONSTR . ADD/ALT 0 SIGN' `Q - [� DEMOLISH
<br /> � B� ;INSTALL B ,•�,REPi�IR
<br /> PROPOSED:U$E - Q SFR. Q �COMM Q •OTHER "
<br /> TYPE OF CONSTRUCTION - Q � ' BLOCK " 'Q FRAME �� STEEL Q �
<br /> DESCRIPTION OF WORK' �f`� � (� l�rJ P1(A,l V` t C
<br /> BUILDING SIZE' SQ�FOOTAGE�-1, _ .,HEIGHT f� �
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<br /> OBUILDING $ VALUATION�OF�TOTAL CONSTRUCTION-,� � '
<br /> ELECTRICAL $ � " AMP SERVICE faS �PROGRESS ENERGY Q W:R.E.C.
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<br /> QP.LUMBING $ � '
<br /> QMECHANIGAL $ � VACUATION OF;MECHANICAL INSTALLATION rC�r�
<br /> � • .. � .l .
<br /> Q�+S Q ROOFING Q SPECIALTY Q OTHER , � „ C�
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<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �
<br /> BUILDER COMPANY` � - � . ' , -
<br /> SIGNATURE REGISTERED Y/ N FEE CURREI. ' ' Y/N� ,
<br /> Address - License#' = �
<br /> ELECTRICIAN: . -, G�� .:COMPANY �-�`�1�2•L�lC� lG�lU � �
<br /> SIGNATURE w' REGISTERED Y/ N FEE CURRE� " ' ��Y/N
<br /> Addres's l I �� _ .. . -,License# �� �� ���p .
<br /> PLUMBER "� , � ,. . COMP:ANY ,;.,, :. � .�,.
<br /> SIGNATURE' ' _ �. :.ReciS�REo . Y./,.N�< ::,4;�e Cu�En , • Y�/N. �:; _
<br /> Addre�s - . ' . . � LlceRse# �: . --, . , .
<br /> . � ' '�-
<br /> MECHANICAL` ` --. ,;� . COMP,,ANY � , _ '- �' - - .
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<br /> SIGNATURE' ' " ' REGISTERED .Y./ N FEECURRED;. - Y�/��N. .- , -
<br /> Address`"� ,�:` � , �` :` � .. ` � ' _ . .. � � - License#3 _ _
<br /> OTHER = � . � , � _ . - , ;COMPANY ' - .
<br /> SIGNATURE' ". ` - • _ � -;•' t `� � ` �' 'REGISTEREDp`� ° Y/ N__:. FEe cuwt�� , Y/N
<br /> Address -_ -, : .. .. � � Cicense#- � . , . � � �
<br /> � . ��, .t..s�...�� . .. .�4�e...�. _� �.., ;.�:�...i {.,r:. . . �....,. .:� -- .�.., - 5 . . ,
<br /> RESIDENTIAL'��_ ;Attach'(2)rPlotPlans;:.'(2)sets�.of+Building�Flans;'(1)'sefof�Energy°Fortns;�R=O-W'Perrriltfornewconstrucyon, '
<br /> Minimum�ten-(10)�workl �... _ .. ._.. .,.: ... ..>,..:� -..�-�:• , - : :..
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<br /> _ „ r ,�y ,;,.-;.,. , n'g days�;afterc�submlEtal`clate.�;Requlred onsite,:Co"nstiucdon=Plans;'Stormwate�'Plans-w/Silt Fence instelled,
<br /> � ��w Saniiary Facllttles:&F;1;.dumpster�,Slte;;Work,;Permit for sutid(vislons/Iarge:;projecCs�._M_>., ` �� ' - ' �"_ ' • •
<br /> - COMMERCIAL Attach(3)'complete sefs`of'B'uiliJing Plans plus a�Ufe Safety Page;(1)set of Energy Fortns.R O-W Permtt�for new canstrucUon.� _
<br /> � Minimum ten(10)working days after submittal date. Requlred onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence installed,
<br /> Sanitary Facilltles&1 dumpster.Site Work Permit for all new;projects::All commercial requi[ements.must meet compliance ° �
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<br /> SIGN PERMIT AttacFi(2)sets of"E`nginee[ed;Plans:,.:.�;�<�° .. ,�a, � . � - -' -
<br /> ""PROPERTY SURVEY rayuired for_all_NEW.construction._ . .
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<br /> Dlrectlons: :.t,.� ,: , �, .
<br /> F(II out applicaUan completely.
<br /> Owner&Contractor sign back of applfcaUon,notarized
<br /> If over 52500,a Notice of Commencement la required. (AIC upgrades over 57500) ,
<br /> ;.:�k.:.;:.,..�>
<br /> " Agent(for the contr`acfor)or Powe�of ABomey(fo�tFie�owner)�would be someone with notarized letter from owner autho�izing same
<br /> DVER THE COUNTER.PERMITTING• -�(Front of•ApplicatiomOnly)- - "
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage)
<br /> Drivewaya-Not over Counter if on public roadways..needs ROW
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