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813-780-0020 City of Zephyrhilis Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> ................. <br /> Owner's Name UmryAk -AACM-6 Owner Phone Humber <br /> Owner's Address WID01 U) wp[C6 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address F <br /> JOB ADDRESS moo lden "ooao oy-, LOT 0 <br /> SUBDIVISION *Adcr) NVO-A I PARCEL 100 5- 4-71—tff-a 1,DO COD00 NqDJ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED _R NEW-CONSTR-M- ADDIALT' SIGN- DEMOLISH <br /> INSTALL E] REPAIR <br /> PROPOSED,USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE 180-FOOTAGE HEIGHT <br /> 11111 W-1114 '4 1&4-5 a I- 5 1 1 W4-1444444- <br /> =BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> 3 PLUMBING 1 <br /> . 1$ .H U). DD <br /> =MECHANICAL 1$ 1 VALUATION OF MECHANICAL INSTALLATION <br /> L__jGAS Q ROOFING :M SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES. NO <br /> H4M4 ++H+H+++H+ <br /> BUILDER COMPANY I I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURPEN <br /> Address License# <br /> R Qd b REGISTERED oc(+f bw I <br /> PLUMBER COMPANY <br /> SIGNATURE FEE CURREN L_YYA J <br /> Address V"M ]?—rj License# <br /> MECHANICAL COMPANY <br /> SI <br /> GNATURE REGISTERED j FEE qURREN Address License# F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N7 FEE CURREN LXLNLJ <br /> Address License# <br /> R A <br /> RESIDENTIAL" -Attach(2)Plot-Plans;(2)sits-of Building.Plans;(1)set-of-E'n'e--'r-g'y'+-Fo-�ff'ns'-,*R-0=W Permitfor new construction- <br /> 'MlnImum.ten-(jq)wqNng;days afters6bmIttaI'dat6.;,Required onsilte,Construction Vlan%,Stormwater'Plans w/Slit Fence Installed, <br /> Sanitary Facilities&.1dumpster,-Site Work Permit for subdIvIsl nsfiargepyojects..- <br /> COMMERCIAL Attach(3)complete sets Of Building P 9lan's 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 wl Silt 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2300,a Notice of Commencement Is required, (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attomdy(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING ..(Front of Application Only) <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 />