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813-760-0020 City of Zephyrhilis Perl;�it'�A' lication Fax-813-780-0021 <br /> Building Departmeritl, <br /> Date Received tn'> <br /> Phone Contact for Permitting:-;: , <br /> Owner's Name t cs r-, '= Owner;P N hone umber 1� nit <br /> Owner's Address � Tel en `� '"'"' p T` T�/i"/� ' �Owner Phone Number �— <br /> Fee Simple Titleholder Name Owner Phone Number �—— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 t Y �r� ?j3S� LOT# <br /> SUBDIVISION i'� 1-�' r' Ca PARCEL ID# 1.� O c, 0�'02 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED I `"I" NEW CONSTR 8 ADD/ALT SiGN DEMOLISH <br /> 1L�-11 INSTALL - REPAIR <br /> PROPOSED US,E ©"` SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION . E� BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK �� a�/>�Ic �rnS�uc �, 'e% <br /> BUILDING SiZE SO FOOTAGE HEIGHT ' <br /> r-rnr�-r r-r^rrrrR"t-rr-r["s-rR-ram-[^r's-rr's"r"r"r�r�"rr'r"s-��nrl"r�e^i"a-u�t-e <br /> =BUILDlNG $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $- AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> 106 <br /> =PLUMBING $ <br /> =MECHANICAL $ - 4� �,+, VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS o FLOOD ZONE AREA =]YES NO <br /> •¢--a-6-�^�'�-4-�--1-i-I-I-•4-•F-�-4-G-�--t'-4-4-➢-:--i�F-�r-:-F=a-i-G-sas4-l-:-lP-4":-•F-F:--E-'�.i-ir-6-'v-:a-•4-I-1-i-,t-:""0--8-aim°�-3--0•-�'-4-+i- <br /> BUILDER ~,/�� COMPANY <br /> SIGNATURE -! REGISTERED Y/ N FEE CURREN <br /> Address %0 Jar � 'GiJ ✓r7 ! Ii3� c. 0 <br /> ,. License# I ' I <br /> Ft ECTRICIA(3 � ,.- -- --' --- COMPANYr'`l? <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N / <br /> Address 4'd. 5 '� t° r' License <br /> _ r <br /> PLUMBER'' -a` _ COMPANY =P40,0- <br /> .SIGNATURE REGISTERED Y/ N FEE CURREN i Y/N,/ <br /> Address f� /�,�,jlrE'� j a ` License# ,tLr' <br /> MECHANICAL } ^ . CPANY t4 r <br /> SIGNATURE O f <br /> REGISTERED <br /> I W/ N I FEE CURREN Y//N <br /> Address ✓ i � j ,:.r` �.^ C f j a a/"�,.•tr�,L`f �� License# 1_5 <br /> OTHER'- , ; - COMPANY 'n/"—I.0 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 1i�f- �� License# <br /> iEilttlliiillilllllllilllll ! ! llIi114i,itiltllllillt .RllRtl111l1I11111 <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 /> -�1-4-6..6-i-.i-S-i-t. L.d..i-.i-.i--4-i-4.-0--i.-i�i•.6..1.1-8-1-1-4-8-¢.A-6."� -"�4.4..i-s-.1-4--4--6-b-i 9-5-8--9�.1.- -8-1-E-9�4•=�-i-.Is.4a9-6-s_�8-0.a4.. <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 />