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813-780-0620 City of Zephyrhilis Permit Application Fax 813-780-0021 <br /> Building Department rr <br /> Date Received ] - Phone Contact for Permittln �l - � <br /> Owner's Name ' _ iJ Owner Phone Number i J 1 577 <br /> Owner's Address z',•21 Owner Phone Number <br /> r <br /> Fee Simple Titleholder Name ( � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS e-n (L`��, r G�3�' �o LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY,TAX NOTICE) <br /> WORK PROPOSED. :NEWCONSTR ADD/AI:T L] SIGN CJ Q DEMOLISH <br /> ` INSTALL. 8 ,: •:.REPAIR <br /> PROPOSEDrUSE 0 SFR. Q COMM. OTHER <br /> TYPE OF CONSTRUCTION Q•' ,-.BLOCK p'�[� FRAME ® � 'STEEL Q <br /> DESCRIPTION OF WORK' \r2.f <br /> BUILDINGSIZE'; so FOOTAGE HEtGHT �. <br /> =BUILDING $ VALUATION''OF TOTAL CONSTRUCTION <br /> =ELECTRICAL �$ � AMP SERVICE Q PROGRESS ENERGY [� W:R.E.C. <br /> =PLUMBING 11s 0A0*b 0-re Iak,� P rvp& 1 (jDVD` ail%' / -70 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION. <br /> =GAS Q ROOFING .0 SPECIALTY, OTHER T <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES. NO <br /> BUILDER r7 , t COMPANY` ��Ss �viy-D <br /> SIGNATURE `?� REGISTERED FEE CURREh Y!N <br /> Address { t7 l�flu..'1 Z.`�I License# <br /> .ELECTRICIAN.,: f .-COMPANY <br /> SIGNATURE REGISTERED Y/ N r FEE-CURREE`` 'Y/N <br /> Address License# :" 1 <br /> PLUMBER ` COMPANY(• <br /> SIGNATUR REG <br /> is lE I Y.b-N.° 1, ,,FEE CURREI� • Y 1 N. z <br /> .. <br /> Address License# " G <br /> ECHANICAL:' COMPANY <br /> IGNA7URE REG.ISTERED.• Y./ N. FEEGURRER YJN - <br /> Address,; License# <br /> _ <br /> OTHER ;COINPAP)Y" <br /> SIGNATURE.*, REGISTERED ` ' Y/ N,.,. FEE CURRER <br /> Address License#' <br /> RESIDENTIAL;;,::°<Attach"(2),;Plot;P.lans;a(2)sets:of;8ufliiing�`Plans;'(1)sef of`Energy Foirns R=O-W I?errril#for new construction,.• <br /> F: Minimum((®n(;1.0)>working;days after'subtnittal'date':;Requl ed onslte`Con`stnictlon Plans,Stormwater,Plans w/Silt'Fence installed, <br /> _ .. Sanitary Fac1lltles:&=1 dumpster�Site•Work:Permit for_su6dirrlsionslla e:,ro acts;': ::;:� <br /> COMMERCIAL Attach(3)`comp let e'sets"of Building PlanIs plus a"Life Safety Page;(1)sat 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•En6ine6edr.Plans.;:: sr <br /> ****PROPERTY SURVEYrequire d for all,NEW construction.. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice.of Commencement Is required. (AfC upgrades over$7500) <br /> M <br /> Agent(for(tie contractor)"or Power 6f Attorney(for the owner}wauic4 be'someone with notarized letter from owner authorizing same <br /> •OVER THE COUNTER,PERMITTING- - .-(Front•of Appllcadon•Only)- <br /> Remote if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter If on public roadways'..needs ROW <br /> t <br />