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813-780-0020 City of Zephyrhilis Permit Application Fax at3-7ao oo2t Building Department Date Recelded phone Contact for Permitting -- -I-r'r-r-I-rr:r- •r ' Owner's Name Owner Phone Numbers Owner's Address «� T '!'� �`� "`�r' �'' �'� � .�.G)wner Phone Number Fee Simple Titleholder Name r �_ - Owner Phone Number FeeSimple Titleholder Address JOB ADDRESS "OW iVIincl-rVi I I 1-- 3394 1 LOT# .SUBDIVISION ✓ t e-�'� �� PARCEL iD# �� /�� u�r "� (OBTAINED FROM PROPERTY TAX NOTICE) ' WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN 0 DEMOLISH- 'INSTALL_ • REPAIR PROPOSED USE F-9 -- SFR COMM OTHER TYPE OF CONSTRUCTION . �� BLOCK FRAME STEEL DESCRIPTION OF WORK �i j�f?J`c�C �:+ 5 t�,}G c� BUILDING SIZE �_- -1 SQ FOOTAGE HEIGHT �`-r-v-I-R-v-o-1_tt-'a e-7^4-9- =BUILDING VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL AMP SERVICE PROGRESS ENERGY 0 W.R.E.C, =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION lot OGAS ROOFING SPECIALTY ] OTHER FINISHED FLOOR ELEVATIONS F FLOOD ZONE AREA =YES NO .-iF-4-6-'i--�'-1-�-7--I-F-i•-i-0-•F-i-i-F-f-B--I--1-9-C-�9--F-�i-B-F-•0-•,'�-P-v--i--@-a-;��w—}--F-v�-1-8�'8-6`-=m�c�8=�1-1�° 9.-8�@-ice`--i"'S--I-R--i- BUILDER / -� . COMPANY - � C:) SIGNATURE REGISTERED Y i N FEE CURREN Y i N Address / t7v x License# Gt�a� Q Cu I ..ELECTRICIAN _, f'',.r COMPANY �a,"1?G�o ,iAFTC.-i" SIGNATURE REGISTERED Y/ N FEECURREN Y/N Address a�+ 'P0� ' r :!� License# { � PLUMBER COMPANY !°' /J~� r` � ��° 141•A .SIGNATURE r REGISTERED Y/ N FEE CURREN Y1/N,/ Address �� F mrl / `A'�•- License# �a4 d G�' MECHANICAL COMPANY &/-,f��:r'f �f„3� d1 lq 4`� SIGNATURE f 1 "'"ram ---REGISTERED Y// N_J FEE CURREN Y/N Address J7,`� �,r,�,r^ , xd fi1�a a�{ .tr�,L`� �c f License# I C/Ic_ OTHER _--^% - -^� COMPANY „` of-),f t •101(07` SIGNATURE ' / . 't � �/ REGISTERED Y j N F FEE CURREN Y/N Address f a -. rf t� t '7 License# RESIDENTIAL Attach(2) Plot Plans; (2)sets of Building Plans; (1)set of Energy Forms; R-O-W Permit.for new construction, Minimum ten (10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt.Fence Installed, Sanitary Facilities&1 dumpster;Site Work'Permit for subdivislons/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a,Life Safety Page; (1)set of Energy Forms. R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite, Construction Plans,Stormwater Plans w/Silt Fence Installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach (2)sets of Engineered Plans. "PROPERTY-SURVEY required for all NEW construction. )fractions-i-.3-3-0-i..l.-I-S-i=l--i-i-6--6-C-t-B.-i-4-b-.1-1--9--�->�.&-d--� 9-8--@-s-B-6-@-1.6.-➢-4-@-�'•9--I--9�Q.,�-.&.I.� ll�@�--�-@®4 aff--6-n�&-4-�. lfrections: Fill out application completely. Owner Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$75o0) * Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same )VER THE COUNTER PERMITTING (Copy of contract required) 3eroofs•if shingles • Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) 1:. Driveways-Not over Counter if on public roadways..needs ROW