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813-780-0020 City of Zephyrhilis Permit Appli6ation Fax 813-780-0021 <br /> Building Department <br /> Data Received 01 Phone Contact for Permitting- <br /> ............................ <br /> Owner's Name (,xwov' A4offite-S) Owner Phone Number <br /> Ownees AddreasHWOD W C�IfxffL St. Owner Phone Number <br /> Fee Simple Titleholder Name. Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS V—)ff 5-�Icy- 00 V,e, LOT# <br /> SUBDIVISION [fl7 1 dd-ffl 'N lj&' I PARCEL 1. Q <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT- SIGN- DEMOLISH <br /> _R INSTALL L_j REPAIR <br /> PROPOSEMUSE Q SFR F--j Comm OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE=. HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> *PLUMBING I$Igpo.00 1- -7, <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO <br /> BUILDER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_MN_j <br /> Address License# <br /> PLUMBER COMPANY (x) <br /> SIGNATURE REGISTERED Y[W -FEECURREK - -L':yLN -Address License#' cq <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address Llcense.# F <br /> OTHER ...COMPANY­ <br /> SIGNATURE REGISTERED j' Y/ N FEE CURREKY/N <br /> Address License#F <br /> .........HHHH IHHHHHH all <br /> RESIDENTIAL" Attach(2)PIot Plans;,(2)sets.6rBu_lIdIng'.PIins;(1)s&of+Energy Foim' s;*+R­6_W_ Permit for now construction, <br /> Minimurn.tep,(1,q),wqrkIng4ays aftersubmitial date.:Required onsite,:Consituc-doin Plam-Stormwater'Plans w/Slit Fence Installed, <br /> Sanitary Facllltles,&Idumpster,�Slte Wo&Perrnit for subdiv!sIOnsfiargeord,jects; <br /> COMMERCIAL Attach Mo6om0lete 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/Slit Fence Installed, <br /> Sanitary Facilities&I 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 /> ., <br /> ................imp, 011111 All IIIlII1A2N2NI8aAZVN!N1.j 111'. 11 <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$7600) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> DYER TIDE COUNTER PERMITTING .-(Front of Application Only) <br /> Rerooft If shingles Sewers Service Upgrades A/C Fences(Plot(SurveylFootage) <br /> Driveways-Not over Counter If-pn public roadways'..n6eds ROW <br />