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813-7e0-0020 City of Zephyrh1l16-Permit Application Fax-'813-780-0021 <br /> Building Department <br /> Date Received " `" <br /> Phone Contact for Permitting -- <br /> � V <br /> r -- . <br /> Owners Name t �s r-. �= Owner Phone Numbed 1 <br /> Owner's Address «�Q } �`� 'ry' p'f T� � JaS� y-"Owner Phone Number <br /> Fee Simple Titleholder Name �. r i �• Owner Phone Number —^i <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 4 $j LOT# L�1 <br /> SUBDlViSION r� 'A PARCEL ID# �� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED �NSTA�L REP STR 8ADD/ALT <br /> R l� SiGN . � 0 DEMOLISH . <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION . �' 'BLOCK FRAME STEEL ` <br /> DESCRIPTION OF WORK �Ci-� �''� jar 1 aftG." r ,.7C'c�i 3 �? � ► �."� � `' <br /> BUILDING SiZE SQ FOOTAGE S S HEIGHT' [ <br /> "r e"r'r-r-r -r^rrrrrc�-w'-r'-rr r-rrr-irrr-t-e->ruu-Il-s�'rr'y'. . x x � r!-r <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $, AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> $ <br /> GAS ROOFING a SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS �� • r i FLOOD ZONE AREA =YES NO <br /> A-1-M-1-C-6•-c-�'�1-•1-6-D--1--1-➢-G-4- (oi-8-G-6-s1-8--i-�r-•Q•G-' - - "-l- '-:�6-'i-- -1-;.-E.- -.8-.E-'vv ir-9-"�.-n-0.-i..•v�l °� "-G-l-•A-•@-3- <br /> BUILDER "�` COMPANY <I✓F ry`. -�U d-c'�r'�. � <br /> 5lGNATURE REGISTERED Y/ N FEE CURREN Y(N <br /> Address' 1, 6G7� /�� 'GC+.�i Q �" I�i�� �- License# <br /> ..EL.ECTRICIA(+! �� �, COMPANY ° "l?C�a�, ��1 EAT ! <br /> SIGNATURE — REGISTERED Y/ N FEE CURREN Y/N <br /> Address 4'ds'`f ='F°0*Cr Cf,�t� License# �� c <br /> PLUMBER �+ ` �.-- __ COMPANY <br /> .SIGNATURE REGISTERED Y( N FEE CURREN Y/N Address f� f��, ,j! t/ ��� �a?,i' License# a rc ow,lgyp <br /> MECHANICAL )c �!"'^ "_' COMPANY <br /> SIGNATURE (,,,'` .r4" G '"—`-REGISTERED YXI N FEE CURREN Y/N ,ram r <br /> Address S�«�fG1^• �,A fix! / tea ���.t� Z`J` fi 6 <br /> — �' License# <br /> OTHER, _----.. COMPANY � r �/°.yrf/.)f*' <br /> SIGNATURE •"_ <br /> REGISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> License# <br /> iiiitlllilllllllllllil ! ! 1lIII1111l11lliiti ! ! liittillilllllll11111i ! <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 subdivision sParga 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 ail NEW construction. <br /> Directions: .9-6-0-�4-B-I-d-- <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 /> Reroofsif shingles - Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />