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813-780-0020 City Of Zephyrhil'S Permit Application Fax 813-780 0021 <br /> Building Department �r <br /> • Hp l � Trf7�i d l yr-fi—m �"t6� 'dl'1"u 10 07, <br /> Date Received Phone Contact for Permitting - <br /> TTT I @-fT' <br /> Owner's,Name i C:S t> ,-. Owner Phone Number 70­5 L Lam. <br /> Owner's Address- <br /> Fee <br /> �'� �� `� `�' p`� TC�e�trJ J '- '7Owner Phone Number <br /> Fee Simple Titleholder Name G ,ri: C Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3j, LOT# S3 <br /> SUBDIVISION l r' eA c, PARCEL ID# T�' "r; ` ` d�" oab-Qd - 3-d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED �`�yNEW CONSTR R <br /> ADD/ALT SIGN 0 DEMOLISH <br /> ' *INSTALL. REPAIR <br /> PROPOSED USE �''� SFR COMM OTHER <br /> TYPE OF CONSTRUCTION . �� BLOCK FRAME STEEL 0 <br /> DESCRIPTION OF WORK r1Ci �'+`/ �C' r�t Y >~'�ate �"� R% M`;►Gc� Pet '"�}-tip <br /> BUILDING SIZE �- SQ FOOTAGE ip05 3( HEIGHT <br /> r•v-rr-a-t^r-r-r-e-r•s-r•A-a-r�r"r�-t=t-m�e-ff-e^ewe-9-w->r-�-�s-u-r�r-r'•a-��'a'�r-n-rya-e'•rr-�-u�s- <br /> BUILDING $ } (obo VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $. „ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> o 0 <br /> PLUMBING $ �Q� � • _6 C��j`•� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS i FLOOD ZONE AREA =YES NO <br /> •-i--y-C-�-'1'-6-@--@-@-l-�-6-9-F-Pr-•@-G-C�-E•-�-`r-@-•�r-1-9-•8"-C-'�-•�-C--3-3-o-9--I-@�a�6•-�--�~�-~-l�-•G-=B�@�\ <br /> BUILDER / COMPANY D_ x 6� - �--J 0 <br /> SIGNATURE �� REGISTERED Y/ N FEE CURREN Y/N <br /> Address fo�G"c��,� l � '<'e�.rn ,� !' ter}' c'- License# - <br /> ..ELECTRICIAN � r.-,�.�- COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> • Y/N <br /> Address License t License# T�C-d" ! �!' r <br /> PLUMBER y COMPANY <br /> :SIGNATURE <br /> REGISTERED Y/ N FEE CURRENT Y/N,( <br /> Address X�Lr !)�f � ,f �s/r ��-a ,t`� . License# <br /> MECHANICAL COMPANY �i <br /> SIGNATURE f•r "��-� -�^ REGISTERED YK/ N FEE CURREN Y J N <br /> Address g' f G1" �^ �� /`t�£a� 'cJctr �a�+��j" License# CAC 0,?;f fad <br /> OTHER ----- COMPANY <br /> SIGNATURE' �� REGISTERED Y/ N FEE CURREN Y/N <br /> f ��`s <br /> Address r_�9 /�1 j� r f' w License <br /> RESIDENTIAL Attach(2) Plot Plans; (2)sets of Building Plans; (1)set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten'(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit,Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work•Permit for subdivisions/large projects <br /> 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. <br /> Minimum ten (10)working days after submittal date.. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new 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 Comm ncement is required, (A/C upgrades over$7500) <br /> "* Agent(for the contractor)or Power of Attorney(far the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles - Sewers .service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />