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813-780-0020 City of Zephyrhi116 Permit Application Fax=813-780 a021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting -- <br /> 'TT- �` p <br /> Owner's Name C1 r c� !-. �= Owner Phone Numbert1 C' fJ <br /> Owner's Address � E f�a,Z j e rt=`� '""" p ti" TGn^f -� �'f Owner Phone Number —� <br /> Fee Simple Titleholder Name r-i Owner Phone Number <br /> -Fee Simple Titleholder Address <br /> JOB ADDRESS' . �70j) L-�QPJJ� 33241 LOT# <br /> .SUBDIVISION G—AG) PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> 'INSTALL_ R <br /> REPAIR <br /> PROPOSED.USE F-79"-- SFR COMM OTHER <br /> TYPE OF CONSTRUCTION . �� BLOCK F__1 FRAME STEEL = <br /> DESCRIPTION OF WORK C t-� :>'a`�1���rv�) � t)�`'J c}C��,'►C � � II�J C�cs� 3 k2,c;i-44 t <br /> BUILDING SIZE �— SO FOOTAGE HEIGHT C <br /> "TTr^r<-rt-rlrrr-r-s-r-rrr "rt-rTmr-r-9"� rrs-mrmr-r'e"Trr'v�rT�=�"r-�'r>ru-'-a-Ir <br /> =BUiLDiNG $ VALUATION OF TOTAL CONSTRUCTION <br /> 066 <br /> =ELECTRICAL $,- AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> � ..00 <br /> [�PLUMBING $ <br /> 50 <br /> =MECHANICAL $ r VALUATION OF MECHANICAL INSTALLATION <br /> =GAS �( ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS Ug- ) -FLOOD ZONE AREA =YES NO <br /> ' U <br /> •'I- - :i- - -1^-3-- --t- -1 -�-�-�A-•F-:--1�4- -W--0-I - A 3 B--3-;C�: -I-r1-�G-E�-`-r-9-6�:- 6 te3-i�-9--G-t-•�- <br /> BUILDER � _ COMPANY J/► - J C)'-"�'c�r"`, f`+r� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address %cca� /� l�'<i�.'�J .� f l�i�-r <br /> License# <br /> ELECTRICIAN ( .�' � , -�'',�- COMPANY ° <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N .. <br /> Address 4�' -. y j=iPOnL°" ,?'� � License# � Q%� t�• % �J� <br /> PLUMBER — COMPANY =/'1JA:VX - Ch'Af1?' <br /> .SIGNATURE �J REGISTERED Y/ N FEE CURREN �Y+�/_N/ r <br /> Address X ;l r� mot/ fi�Ec License# <br /> MECHANICAL J � r <br /> ''-' -_ --_ COMPANY I( '� ���ft <br /> SIGNATURE ( �' C REGISTERED W/ N FEE CURREi\ Y/N <br /> Address �J �.� �` f?JZ c«� r'rt! 1` ! ' License# r ,7, <br /> OTHER. w � .- - ? COMPANY fall iG >f�/".y/e't)j? c am '� (�`a°-//-I• <br /> SIGNATURE pp REGISTERED Y/ N FEE CURREN Y/N e <br /> Address ti !'f " License# <br /> Liil1 ! lih111TilliltllllTill [ Iiiitliillllltllllllll .11iIlll Ill fill IaI'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 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 /> ct..1-.1...I-B-i <br /> tions: <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,.rieeds ROW <br />