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8'13-780-0020 City Of Zephyrhiii-,, Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting -' <br /> Owner's Name Owner Phone NumberLl <br /> Owner's Address '� � `� 0- p`� TC`b'1°� ? Owner Phone Number <br /> Fee Simple Titiehoider Name 'C._ Owner Phone Number ----� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �j (tit S t{� "JLv�I LOT# <br /> SUBDIVISION D1i <br /> u C_- PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR ADD/ALT SiGN DEMOLISH <br /> 'INSTALL 8 REPAIR <br /> PROPOSED USE �� SFR COMM . OTHER <br /> TYPE OF CONSTRUCTION . � FRAME ��. STEEL 0 <br /> DESCRIPTION OF WORK 0 �'`i tG p�Fh� �'SJG�G.'�C �j be k 3 i,_ <br /> BUILDING SIZE �^ SQ FOOTAGE S 5 HEIGHT C_ <br /> r->t�t"mr"t"►-rr`rr-r-r-0 a x-a-A a a a a A <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =CbG <br /> =ELECTRICAL $, � AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> QPLUMBING $ u} <br /> =MECHANICAL $ U VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> lt)s.5t <br /> "-4-1-➢�--!'-1'-�'-i-�-1-i-1---1-i--C-II-#-1-�-8--i-i-t`r-i--t+.{i-�'-C--{--3-:-'v--1-I-°:-'v��C-G--C-1 @-&-6-v-:a-@�' i-G--E-;ro6a$�I�°+�e"r-3s9-C-P-S- <br /> BUILDER r'f COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN-tom Y/N <br /> Address �` l�r 'KC}✓� Z r^ 1�rt? c" License# C'�BEo-'`7 o 6 <br /> ..ELECTRiCIA(J COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURREN YIN_ <br /> Address �Z3 ,�����Ge^ ,"� .� License# FRcj30+�� <br /> ,PLUMBER �.-� ._•___� __.- COMPANY � <br /> .SIGNATURE ) REGISTERED Y/ N FEE CURREN �Y+�/N �r <br /> Address, [} i�L1�� � 'a,sal-a�� License# c.;F""T^ f�'c <br /> MECHANICAL n ) � COMPANY <br /> SIGNATURE {,•"' �7 '" �/� "_"`--REGISTERED Y) N FEE CURREN Y J N <br /> Address jd �/�G-� �. /�''t f`Ita a ',. x`} `}' License# tUS7k1 %' I <br /> OTHER. _ __�- - - COMPANY !/ T �/ f./*'Lry ._ toT`"! <br /> SIGNATURE --ate REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# l <br /> II { l1111t' ii111 { IiIIIillllilllll111111II1 { ! iltI11111 {:� I@ilt@@II111II11 <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/Siit.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 /> 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$75oo) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> AVER THE COUNTER PERMITTING (copy of contract required) <br /> 3eroofs if shingles • Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) _ <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />