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813-780-0020 City of Zephyrhilis,Permit Application Fax-813aa0-0021 <br /> Building Department <br /> I07. Aa"► <br /> Date Fjoceived Phone Contact for Permitting -- <br /> T-r'r1Ti'T"T" i 4 <br /> Owner's Name Owner Phone Number V1 L �t• !J <br /> ,• .�K <br /> Owner's Address (��>Q�,Z�!e'�� '""' J)°�' Tc.ry^1��„3� � ,owner Phone Number <br /> Fee Simple Titleholder Nam. Owner Phone Number �- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS `j l 5 u LOT# <br /> SUBDIVISION t 3' T' PARCEL iD# •� `�. c / �" ] " <br /> �G� (OBTAINED FROM PROPERTY TAX NOTICE) ; <br /> WORK PROPOSED I TR 8 � REPAIR � SIGN 0 0 DEMOLISH <br /> , NSTALL • <br /> PROPOSED USE �"` SFR 0 COMM . OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL 0 <br /> DESCRIPTION OF WORK Z74 i <br /> BUILDING SiZE SO FOOTAGE '� S� ZZ HEIGHT' '�� <br /> r'r'r"f-t-r-r-r-r-rrrrrr-r-v-r, p-r'r-a�-�-s�e- <br /> =BUILDING $ fi VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $, AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION06=6 <br /> ! <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS i FLOOD ZONE AREA DYES NO <br /> •�-s-�-�-A-#-G--i-�^I-�-a-C-G-i-h--G-li-�-1-.F-i-64fr••6-;,-�-A-�-��a-;;°�-�-1�-8-8-I-8-6-6-�-6-1-;r- °�.�-E.-I..�..i•�- <br /> BUILDER _ COMPANY • <br /> SIGNATURE �" REGISTERED Y/ N FEE CURREN <br /> Address 1r� G7r )� �1�<YS.r+7 ,� !^ <br /> License# <br /> ..ELECTRICIAN ( r i-2�^� ,f ,� COMPANY <:71 In 1:09.-rO,0 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address �t +��°ts ,�' r ., License# <br /> PLUMI3ER •fr-�d�T t`--, COMPANY <br /> .SIGNATURE REGISTERED Y/ N FEE CURREN Y/N ,r� <br /> Address, {� Iva ��/�/t� f �i •P,,z License# ?rc o el, l <br /> MECHANICAL r „ ll ��%' r i 7 <br /> SIGNATURE t.' '-� ' ''� --_'--COMPANY �A� ��� � A ��r <br /> REGISTERED. Yr"/ N FEE CURREN Y f 14 <br /> • ' <br /> Address ✓ter'--7iV2 1, -x0.^ x� t a � 1r.Ur,L`�` rj License#OTHER. F _--- COMPANY <br /> SIGNATURE �r �^ REGISTERED Y j N FEE CURREN Y j N <br /> Address /,a,9U �' ��u License# -------� <br /> r 4 <br /> iiliiillllllllllllllilllllllilll ! ! llBill ! ! IIl1ii11il11. 1lillllll ! ! 1 <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/Silt•Fence installed,-, <br /> Sanitary Facilities&1 dumpster,Site Work•Permit for subdivisionsjiarge 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 ail 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 /> r cti o s:4-i--b-b-i.i-1--i-i--i-i=i-3.-i-G-i--d-i...II--d-O�{.-6..6-C�l�B-B-A-6.-6--9..a..�-Il-➢--B-R-9.-9.�8-8-:rta-&.8- ,�C�-dS-4=-$�9-D.�..Fs..6.oE�. <br /> Directions; <br /> Fill out application completely. <br /> Owner 4 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner autnoriz ng same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs jf shingles • Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />