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813780-0020 City of Zephyrhilis Pen-nit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> • Ownees Name (exa.,der —tabcv owner Phone Number <br /> Owners Address 13 .3 S J <br /> F Owner Phone Number So o Z- S�3-6 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS A LOT 9 <br /> SUBDIVISION ' PARCEL ID#F/ZZ021 00Y000100 0-21C <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEWCONSTR ADDIALT SIGN Q Q DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSEDUSE Q SFR F-1 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK [J FRAME Q STEEL <br /> DESCRIPTION OF WORK 060r. Foe .5;r-e <br /> BUILDING SIZE SQFOOTAGE= HEIGHT <br /> I I a III . . . . 117"ClIrTIT" <br /> Pal ILDING 5-1 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING 1$ 1 11, 11 <br /> ]MECHANICAL 1$ 1 VALUATION OF MECHANICAL INSTALLATION 0 <br /> =GAS F-1 ROOFING 0 SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS II FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . ... . . . . . . . . <br /> 1011) -7- -7 <br /> BUILDER /Xi/0101ANY <br /> SIGNATURE REGISTERED I YIN FEECURRM ffYIN <br /> Address -c-.A-4 4 o License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License#F— <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN LILN_J <br /> Address License# <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED I YIN FEECURREN YIN J <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN YIN <br /> Address LIcense#F_ <br /> 11111111111 [ 11 It I I I If I if 111111111111111 [ 11 fill III IIIIIIIII IIII I III I I lilt [ if 11111111 If I <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans:(i)set of Energy Forms;R-O-W Permit for new conshuction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivislonsfiarge 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,Storrnwat6r Plans w/Silt Fence Installed, <br /> Sanitary Fadlitles&1 dumpster.Site Work Peffnit for all new projects.Ail commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans, <br /> PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . <br /> DIrE;#V <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> It over$2600,a Notice of Commencement Is required. (A/C upgrades over$760D) <br /> Agent(for the contractor)or Power ofAttomey(for the owner)would be someone With notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING. _...(copy of contract required) <br /> Reroola If shingles Sewers .Service <br /> p U grades A/C Forces(plot/Survey/Footage) <br /> Driveways-Not over Counter if on p6611a m6dways,.needs ROW <br />