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� 813-780-0020 City of Zephyrhiils Permit Application Fax 813-780-0021
<br /> , ' . } Building Department - �'�
<br /> Date Recelved r Q�
<br /> ,� �, • Phone:Contact'forPermlttin .
<br /> Owner's Name Owner Phone Plumber �z�
<br /> Owner's Address "G fT�(/ �_ Owner Phone.Number
<br /> Fee Simple�Titl�holder Name � ' Oxrner Phone Number
<br /> Fee Simple Titleholder Address • - •
<br /> JOB ADDRESS � � D ,� LOT# �
<br /> SUBDIVISION - PARCEL ID# 1 '"��e �o�� "' � � — �Gb"O �D� �
<br /> ; , � , , , (08TAINED F.ROM PROPERTYTAX NOTICE)
<br /> WORK PROPOSED , - n NEW CONSTR ADD/ALT �Q SIGN' Q ' Q DEMOLISH
<br /> INS'TALL B� '-REPAIR •�
<br /> PROPOSED=.U$E SFR. Q �`AMM�'� OTHER t/ �
<br /> TYPE OF CONSTRUCTION' "'BLO�CK ' �Q FRAME LJ STEEC `Q � '
<br /> DE8CRIPTION OF WORK' Y V � �� � U/,�/✓ � C�(J �
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<br /> BUILDING`SIZE` �SQ FOOTAGE ` �(e d� .HEIGHT�. . O ;j
<br /> QBUILDING $ VALUATION:OF`TOTAL CONSTRUCI'ION `
<br /> QELECTRICAL $ ' AMP SERVICE Q PROGRESS ENERGY Q W:R.E.C.
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<br /> � , . , ,
<br /> OPLUMBING $ ` ' , ,. �``Sb� Zp(�
<br /> �MECHANIGAL ' $ "" VACUATION OF;MECHANICAL INSTALLATION
<br /> ; D - �: � �/' �/�
<br /> Q�S Q ROOFING Q. SPECIALTY, Q OTHER� - r� I (O l �
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE A.REA QYES. ;NO
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<br /> BUILDER COMPANY=. -. , . � , .
<br /> SIGNATURE REGISTERED Y/ N _ �E CuttR� " Y/N
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<br /> Address � Llcense#' '� ` '
<br /> ELECTRICIAN: _ , , -COMPANY •
<br /> SIGNATURE �' REGISTERED Y/ N �e Cu�'� � "'Y/�N '
<br /> Address '' � - - . - . - y _ . Llcense# ` ,
<br /> ,. . _ r: , . _ . � ,
<br /> PLUMBER , � , COMPANY , ;, . ' ,
<br /> SIGNATURE, � � , x REGI3TERED Y./;.N„ •FEE CURREK Y�/N. •
<br /> Address _ ..� . . . ' 1 �,,Ltcense,# 4 . - , .
<br /> MECHANICAL` . � ' - , COMP;.ANY. , ��. � -..I-:�.• '
<br /> SIGNATURE ' ��' REGISTERED , Y,/ N . �_ FEECURRE�. . . Y;/•N. •_
<br /> Address° - �����_ Gt'd�lr_O�' � f�� �:3` -��_ ' License# C�GC. .Gf2���6 -
<br /> OTHER � �- �� ` -- '�COM.PANY
<br /> SIGNATURE �=, '��-:-•�; =°. ; - � � . , t �REcis7Eii�o� ° ; "Y/ N,.:. �e cuw�� Y/N
<br /> Addre� - - -,�.�,�, � , � . � � - � �License#: , , � , -
<br /> RESIDENTIAL;_'�_z :Attach"(2);PIot�Plans;;,(�2)sets=of:Bui181'ngiPlans;'(.1)setof-En`ergy�Fortns;R=O=W`Permitfornewaonstruction, � " � �
<br /> � :_.;�;-Minimum_ten°(:1.0),wo.rking;daystafter�submlEtal'ilate.�:Requlred onsite,:Constiuctlon Flans`,'Stortnwater Plans wl SOt'Fence�tnstalled,
<br /> ��1����Sani4ary FaciliUes;8�;1=.dump§ter-Site�WorkrPertnit#or subdiv,islons/large,projeots;___.;.;,; ' � '� � '` '-
<br /> COMMERCIAL Attach 3`com lete sets`of Buildin`Plans'1us a Life Safe 'Pa e; 1 set of Ene Forms.R O V11 Permit for new constructlon.
<br /> � ) .,. .p 9 p tY 9 � ) �9Y
<br /> � Mintmum ten(10)working days after submlttal date. Required onsite,ConsUuctlon Plans,Stortnwater Plans w/Silt Fence Installed,
<br /> Sanitary FadliUas 8 1 dumpster.Site Work Pertnit for all new:proJects:All commercial requl[ements.must meet compliance °
<br /> SIGN PERMIT Atta6Fi"(2)"sets of"Engineer,ed�P;,lans.;::�-;P';, - ' . . ,
<br /> ""PROPERTY SURVEY reguired for all NEW.gonstrucUon. .
<br /> Dlrections: - .�r_,-�:,;-. �
<br /> Fill out applicaUon completely. ,
<br /> Owner 8 Contractor slgn back of applicatlon,notarized
<br /> If over�2500.,a Notice of Commencement i�requlred. (A/C upgrades over a7500)
<br /> .. .,..��;,rµ.:��-`:• --. _ ..<
<br /> Agent(for the�contractor)or`Power�of Attom'ey(for the�owner)would be someone with notarized letter from owner authorizing same
<br /> OVER THE COUNTER PERMITTING - �(Front of-Application•Only) •� � '
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
<br /> Drivewaya-Not over Counter if on public roaduvays:.needs ROW�
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