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813-780-0020 City of Zephyrhilis Permit Application Fax 813-78NO2i <br /> Building Department <br /> Date ftscelved Contact for Perm DI - 961 ? 1 <br /> phone, lttihx <br /> 1-A-A­LLUA.L <br /> Owner's Name L l NIX I�W Owner Phone Number .......... <br /> Owner's Addressiq i Owner Phone Number <br /> Fee Simple Titleholder Name. Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Ln. LOT# <br /> SUBDIVISION W� \ aievl PARCEL IDN a W-WO- 00000- I a-ID <br /> (OBTAINED FROM PROPElFrYTAX NOTICE) <br /> WORK PROPOSED NEWCONSTR ADDIALT" SIGN. DEMOLISH <br /> R INSTALL 8 REPAIR OTHER <br /> PROPOSED USE SFR COMM <br /> TYPE OF CONSTRUCTION _-"�BLOCK FRAME 'STEEL j <br /> DESCRIPTION OF WORK WnWj(on locsfa I I <br /> CITAGE HEIGHT'l BUILDING SIZE L SIR.F0 <br /> 111111111114 W 1.4-111 <br /> BUILDING VALUATIOW00 TOTAL CONsiikuanoN <br /> =ELECTRICAL AMPSERVICE - PROGRESSENERGY Q W.R.E.C. <br /> PLUMBING- <br /> j$[LQC)Q- 00 -1. <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY, OTHER, <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES, .NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREN L_y N L_j <br /> Address <br /> E "A . <br /> LECTRICI,W COMPANY <br /> SIGNATURE REGISTERED FEE cuRREW <br /> Address A License*, <br /> PLUMBER' COMPANY . <br /> SIGNATURE REGISTERED Y1:-N, 1. _yEECURRFh- -/N J, <br /> Address L.Iqe.nse'i <br /> MECHANICAL, P FEE CUR.RB: N <br /> SIGNATURE REGISTERED .-I.,Y N j _L_j <br /> Address License aF7 <br /> OTHERCOPAPANY <br /> SIGNATURE � <br /> REGISTERED I''Y N_j FEE CURPE <br /> 77� <br /> Address iicense#.F--- <br /> 111111 11 11 1 lt! 1 111 <br /> RESIDENTIAL, Attach'(2),PIdfPlanS`;'1V), "Plans;(i)'a-8 ti f Ei fed6figild.-Consdtlo'n Riq�A�,'Poyrilt fdr'new-cohstruopp... <br /> awl-o"S;­ __ Plans;Stc' rmwateit'` i '­Plains vi/Silt Fence installed, <br /> S <br /> 6anlial ItqWo#c;Fermlt for stibdivit!on0fifte pr6j0p <br /> COMMERCIAL Attach(3)complete sets of Btilldl hig'Plain"sipiluis ibt6 Safety Page-;'(1)Set of Energy'Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)woridng days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence Installed, <br /> Sanitary Facilities&1-dumpster.Site Work Permit for all new prajdclit..All commercial requirements.must meet compliance <br /> SIGN PERMIT Attach(2)'96ts of Eniiiii6dro'cWlins.,.' <br /> 'PROPERTY SURVEY re ulred 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. (AIC upgrades over$7500) <br /> Agent(for the don66tor)or'Pbwer of Attorney"(16ir the owner)would be someone with notarized letter from owner authorizing same <br /> OVER-THE COUNTER PERMITTING -.'-(Front of-Application Only) <br /> Rercofs If shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> W <br /> DrIvewaVs-Not over Counter if public roaiways:._n_eedi ROW <br />