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s13+Teaooso City Of Zephyrhflls Permit Application Fax-813-78D-0021 <br /> Building Department <br /> Date Received Phone Contact for Petmiti 1 _ <br /> 1111i111 <br /> Owner's Name i Jr Owner Phone Number <br /> Owner's Address A J � vr Phone Number <br /> Fee simple Titleholder Name ai Owner.PhoneNumber <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> r r� <br /> SUBDIVISION PARCEL 10911 <br /> (OSTAnIE9 FROM PROPERTY TAX NO ICE) <br /> WORK PROPOSED Q NEW CONM Q ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q Comm OTHER <br /> TYPE OF CONSTRUCTION Q 13LLO�CK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING S ATION OF TOTAL CONSTRUCTION <br /> Q ELECTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R EC. <br /> =PLUMBING 4; <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> 0 <br /> GAS ROOFING SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YE5 NO <br /> BUILDER SIGNATURE �r� � COMPANY STeaeo Y N EEC RREI%WI N <br /> Address U[ i License#I EEC go5u _ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURIEr Y/N <br /> Address J License d <br /> PLUMBER J A COMPANY <br /> SIGNATURE REGISTERED YIN J mrsCURREn Y/N <br /> Address j License d <br /> MECHANICAL V1 r COMPANY <br /> SIGNATURE 1 � 11 REGISTERED Y/N F&cuRREA LYLN <br /> Address 1 License <br /> OTHER n COMPANY <br /> SIGNATURE REGISTERED Y/N Y/N <br /> Address License 8 <br /> Ill [ IIIIIIIIIIIIf1111111tlllllt1111`11111fIt11It111111 I1ItItII1111t <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O•W Pelmlt fornaw construction, <br /> Minimum ten(10)worldrrg days after submittal date.Required orrsite,Construction Plans,Slormwaler Plans W Silt Fence Installed, <br /> Sanitary Facilities&1 dumpmarr,Site Work Permit for subdiviairnrsaarge,projects <br /> COMMERCIAL Attach(2)Complete sets 01 Bullding Plans plus a Life Safety Page;(1)set of Energy Forma.n-o-w rrnnh for new eonceuuran. <br /> MWmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Flans w/Slit Fence installed. <br /> Sanitary Facilities&1 dumpster.Site Work P.ennR for all now projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7000) <br /> Agent(for the contractor)or Power of Altomey(tor the owneri weuld be someone With notarized letter from owner authorizing seine <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs if shingles Sewers Service Upgrades A/C Fences(PIoL-urvey/Foologs) <br /> Driveways-Not ever Counter If on public madways.meeds ROW <br />