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813-780-0020 City of Zephyrh ills,Permit Application Fax=als-Tao 0021 Building Department Date Recelved `r � -- Phone Contact for Permitting Owner's Naive c? c� r- - Owner Phone Number Ll Owner's Address ��le � `rn' �'� Tc/b^f�1�J� Owner Phon9 Number Fee Simple Titleholder Name r Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS• t� S - LOT# UK� SUBDIVISION ! V PARCEL ID# t•� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEw caNSTR ADDJAL-T SiGN �] [`] DEMOLISH 8 INSTALL. REPAIR PROPOSED USE F-9 - SFR COMM OTHER TYPE OF CONSTRUCTION " �°'r BLOCK 0 FRAME i ' STEEL 0 DESCRIPTION OF WORK BUILDING SIZE — SQ FOOTAGE HEIGHT �_- t-1-r-11-7 -rrr...s-rl-r-r•1~-e-r-r-T'^P-Q'-r-t-r-rrQ'1t- 'Y? r' �e�R--¢-t-R-it-r-a' =BUI.LDING VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL r$, AMP SERVICE PROGRESS ENERGY W.R.E.C. . PLUMBING L- - l MECHANI�CAL $ VALUATION OF MECHANICAL INSTALLATION . . • as • =GAS 0 ROOFING SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO '-1{-4-i-1-@-1-i-i-C--i--D-{-i-C--C--i- -➢-i-i--➢•-8-➢-`�-p-B--F�➢=a-C--B-3-E-1-- - -*-G-e-'1--G-c-r-i 6-E-1`�` ➢-- -i-D-i-�'➢-8 m5mp,-s-'9--i- --G-f-@- BUILDER , i_ COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y(N Address fo�to c�;l l l�"C .mi i^ J�i�� License# 5 � ..F-LECTRICIAV ,�- COMPANY ��" ��• � r` �� SIGNATURE �! a,r l REGISTERED Y/ N FEE CURREN Y/N Address 0�' T ��=l r ! G°� ,�V � °7' •I License PLUMBER � COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# MECHANICAL COMPANY A�i �r*1� iod , 14'r SIGNATURE f, �^�G�' -- =- -- _ R E GISTERED W`i N FEE CURREN Y/N Address ` �� li� ,s � ry License# I n�kG' OTHERr �. - -- COMPANY SIGNATURE- / REGISTERED Y/ N FEE CURREN Y/N Address �� .,�r'r �?� /�1 License# y i1lilllli" iiliililliiiiiililtiilil ➢ ➢ ➢ ➢ ➢ Ilillii ! l ➢ 11 •➢ ➢ ! @ !.@ ➢ @1@@ ➢ @ ➢ ➢ ➢ @ • RESIDENTIAL Attach (2) Plot Plane-, (2)sets of Building Plans; (1)set of Energy Forms; R-O-W Permit.for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit.Fence installed, Sanitary Facilities&1 dumpster,Site Work'Permit for subdivisions/large projects 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. Minimum ten (10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial-requirements must meet compliance SiGN PERMIT Attach (2)sets of Engineered Plans. "PROPERTY•SURVEY required for all NEW construction. .ire cti s-+.-1-„�- -i--a-.a_I-1--1.-}-�-�•-G-8-G-1-Q-B_i-.p-.6-6.�.-aS->�•s-A_G--➢-i-6-•➢--@-➢-@-.@_.@-8--@-➢-a- -➢- ..�-t &.At-E:@�@.a l.-i-@ ➢e6-.➢e-�-t ., dilrections: FIJI out application completeiy. Owner$ Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) * Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized fetter from owner authorizing same )VER THE COUNTER PERMITTING (copy of contract required) leroofs•!f shingles Sewers " Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW . .