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813-780-0020 City Of ZephyrhillS f ermlt Application Fax-813-760-0021 <br /> Building Department <br /> Date Received f `r"p^ 7 o f�'t= a i� a >?.� *+ ► <br /> Phone Contact for Permitting <br /> Owner's Name r c� j•. ¢= Owner Phone Number<t <br /> .� <br /> Owner`s Address �v�E.Q .Te !e c' '" �'� TC n"�� ��� �.�Owner Phone Number <br /> Fee Simple Titleholder Name 'C_ Owner Phone Number -- <br /> Fee Simple Titleholder Address <br /> Jq q JOB ADDRESS ] {� rf (S S LOT# Z--S <br /> .SUBDIVISION n i Ca PARCEL ID# <br /> . (OBTAINED FROM PROPERTY TAX NOTICE) <br /> ,- ' <br /> WORK PROPOSED rNEW CONSTR R <br /> ADD/ALT SIGN DEMOLISH <br /> INSTALL. • REPAIR <br /> PROPOSED USE F-9'' SFR COMM OTHER' <br /> TYPE OF CONSTRUCTION . E� BLOCK 0 FRAME Q STEEL <br /> DESCRIPTION OF WORK ��L� t 1G��f3i ��.5 �)Cje_:i Z 6-c-4- 54 c,,- <br /> BUILDING SiZE SQ FOOTAGE ` HEIGHT '_ <br /> r-�Trvr-rr-'r-rrr�-w-rr-r-ra'•r^m1-n"t^[^'r'z"r���7�r"s'•�,�"�r"I"3_F"s'Te-eat-c^T�rr-s"tr"�i-s-'C-B'-a�Q�e�r <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � C,0 <br /> =ELECTRICAL �$. AMP SERVICE 0 PROGRESS ENERGY 0 . W.R.E.C. <br /> .�o]PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATiON <br /> QGAS ROOFING F1 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> -t•-8-0-D--F-i-1�-G-G•-i-1-1-i-F-Fi-i-t--C--F-4-i--C--"e-+'r•-t�i-e-F-i-t-,"•-i-,i-t-tom.-.�t�-r�-�i�-i-t-i-t-8-i-�v-.E�i-�i-.-1-44-11 1! 11 3 ice-1•-i-•�- <br /> BUILDER :,�'�y COMPANY JJ� -� c1 ``A`ci' , 1, <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y(N <br /> Address , l� jG�.�i ,� , ' � it� �. License'# <br /> .FLECTRiCiAN COMPANY. �c-jmc�a(',J-ar ? <br /> SIGNATURE' REGISTERED Y( N REE CURREN <br /> Address License# Q%� i i <br /> PLUMBER COMPANY (/tea'"� ,r` ��6'c�lt �` �'' %r��.� <br /> SIGNATURE <br /> / , REGISTERED Y( N FEE CURREN Y/`N <br /> Address { /f ,s��,� t� lF r9� is.P, z Li rC�"`cense# C 0 F,'/- <br /> MECHANICAL ,r� o COMPANY ��i <br /> SIGNATURE i r� "��"��^ '^" —^-REGISTERED YtI/ N FEE CURREN Y('N <br /> Address 2 , -_Y"X e, Cry Ifle License# I C& <br /> OTHER , _ - 2 COMPANY 11/( �1 /::. 1)f' /-1 'f_/A� a• . <br /> SIGNATURE �^- REGISTERED Y/ N FEE CURREN Y/N , <br /> Address License# y� <br /> tiilillll" 11III1i11 ! lIIII111111ii ! llDitliitllliiitl_iIIililittittitll <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/Sllt.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/Slit 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 /> Direction <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$7500) <br /> ** Agent(for the contractor)or Power of Attorney(for 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 />