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813-78014 20 City of Zephyrhilis-Permit Application Fax-813-7e0-0021 <br /> Bullding Department <br /> j Date Received dry <br /> Phone Contact for Permitting <br /> Owner's Name �f} !J_ it1'77�' Owner Phona Number Owneft Address I (.0 J 2.4 " 4'f7 Rd 614 �' Owner Rion Number (""1- <br /> Fee Simple TNehakler Name Owner Phone Number <br /> Fee Simple Titleholder Address p ^J <br /> JOB ADDRESS jp3oZ 7 /1r`l !3W. <br /> SUBDIVISION I PARCEL IGB D3 a6 A/ ©D#4 4D000 OLY/D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CDNSTR ADD/ALT U SIGN = 0 DEMOLISH - <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER. <br /> TYPE OF CONSTRUCTION Q BLOCK 'FRAME STEEL <br /> DESCRIPTION OF WORK. <br /> BUILDING SIM 1 SQ FOOTAGE HEfGH1 �." /04 S TQN ��(t1VdT�3 <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL `'— �. AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> IVfECHANICAI StZ 6)Y7D <br /> VALUATION OF MECHANICAL INSTALLATION �• �/ <br /> < <br /> =CAS = ROOFING 0 SPECIALTY = OTHER ` <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO ~ +f <br /> BUIWER ( i---� COMPANY �� I <br /> SIGNATURE l REGISTERED I YIN, FEE CURREN. . . Y I N <br /> Address Ucense# —� <br /> ELECTRICIAN <br /> REG <br /> PANY <br /> ISTERED GISTERED FEE CURREN,, Y/N J., . <br /> Address License <br /> PLUMBER COMPANY. I <br /> SIGNATURE REGISTERED I Y/ N •I FEE CURREN <br /> Address License# . <br /> MECHANICAL COMPANY WAN 51 M�E6� <br /> SIGNATURE _ REGISTERED I Y/N FEE CURREI, L.ILN <br /> Address y / /'m Lioense#. rT- *,5/ <br /> STHER COMPANY <br /> IGNATURE REGISTERED. �."FEE CURRFa. Y/N <br /> Address . License# <br /> 111111111111'It1:1111'111111"I I1111i11.IIIIIIIIIIIIIIIIIIIiI_IIIIIIIIIt1I <br /> RESIDENTIAL Attach'(2)Plot Plans;"(2)sets'of BuJk&V Pans;(1)set of Energy Forms;R-O-W Permit for new constridt:dion, , ; <br /> Miinimum ten(10)woddng days after submittal data. Required onsite,Construction Plans,Stortnv+ater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pormit for subdivisionsaarge projects - <br /> COMMERCIAL Attach'(2)complete sets of Building Plans plus a life Safety Page;(1)set of Energy Forms.R-O-W Permit Tor new construction." <br /> Minimum tan(10)woricing days after submiftai date. Required onsite.Constniadon,Pians,Stmawater Plats wy Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new pmjects.Ail commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets,of Engineered Plains: <br /> —PROPERTY SURVEY required,for all NEW.construction.. <br /> 461" � . <br /> Direons ctl :• <br /> Fill out application Completely. <br /> Owner&Contractor sign back of appuaation,notartwo <br /> If over WW1,a Notice of Commertcemert is requlmd. (A/C upgrades over$7500) <br /> " Agent'{far the corRractai)oi•Payer of AtRomey(for'dhB owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMIT ING, (copy of bontract required) <br /> Reroofs if shingles. Sewers Service Upgrades VC —(Plot/Survey/Footage) <br /> Driveways-Nara over*Coiinter if on pullicroadwnays::needs ROW <br />