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I 813-780-0020 City of Zephyrhilis Permit Application Fax-813-7e0-0021 <br /> r Building Department <br /> Date Received .� Phone Contactfor,Permitting <br /> Owner's Name 14OVf —i ST Cc %re Owner Phone Number <br /> Owner's Address 7 0,S_ Al eek, 2 j Owner Phone Number <br /> Fee Simple Titleholder.Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 8 <br /> JOB ADDRESS s o Y- L ,V 7Z,11_ 3 3 LOT# <br /> SUBDIVISION PARCEL ID# 1 Z Ste'"�'�` 00/0 0�'210 o 0 Q2O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT ✓� SIGN = = DEMOLISH <br /> B INSTALL R <br /> AffEUR <br /> PROPOSED USE _ SFR = COMM = OTHER ' <br /> TYPE:OF"CONSTRUCTION = BLOCK • 0 FRAME. = STEEL 0 <br /> DESCRIPTION OF WORK z <br /> g BUILDING SIZE F SQ FOOTAGE o z o HEIGHT •. <br /> =BUILDING $ VALUATION*OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ `l�, �, <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION V <br /> T <br /> i =GAS Q ROOFING Q SPECIALTY Q OTHER <br /> b-3' <br /> )�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO -/ .[ <br /> I <br /> BUILDER COMPANY <br /> SIGNATURE ,/?%! REGISTERED N FEE CUR REN Y/N <br /> Address F-rti ►n T iw a 602 -License# <br /> aa.v <br /> ELECTRICIAN °v COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER. 'COMPANY- <br /> SIGNATURE. _ REGISTERED Y•/ N. FEE CURREN ' Y/N <br /> Address License# <br /> MECHANICAL �` �, COMPANY <br /> { SIGNATURE'" y+J REGISTERED Y/ N . 11 FEE:CURREN <br /> I Addre"ss _ License# <br /> OTHER-' .r,.. COMPANY <br /> ''SIGNATURE`r . REGISTERED Y/.N. FEECURREK LLLN <br /> Address!. License# <br /> .. 4.1 l 1 2 1 _ <br /> »RESIDENTIAL;,.`;Attaci;:(2)>Plot'.Plans;''(2)-sets of Building-Plans;(1)'set of Energy'Forms;R-O=W,Permit for new.construction,'. <br /> working,days;alter,sutimittal date:'Requieed'orisite;'Constriiction Plans,"Storrnwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&11 dumpster,•;Site;Work Permit forsubdivisionsflarge`projects' <br /> M.'Y.COMMERCIAL Attach`°(2)compleCe'sets of'Building Plans­plus a 16 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:fof all-new projects.All commercial requirements must meet compliance <br /> :-SIGNsPERMIT Attach°(2)sets,,,of;Engineered.Plans <br /> ****PROPERTY SURVEY re ulred for.all.NEW construction... <br /> - ------------- <br /> Fiil-out application completely. <br /> Owner&Contradtorsign back of application,notarized <br /> If over'$2500,a Notice.of.Commencement Is required. (A/C upgrades over$7500) <br /> Agent(for'i"iractor)or°Power of-Attomey(for tiie owner)viiouid lie someone with notarized letter from owner authorizing same <br /> •`aOVER•,THECOUNTE,R�P,ERMITTING:.... .,.(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 r'oadways::needs"ROW <br /> I <br />