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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received t Phone Contact for Permiftlng-_ <br /> J.LL4.L& <br /> Owner's Name Owner Phone- <br /> Owner's Address L]Leco LO aleyess SA . Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ray t <br /> JOB ADDRESS UUM 'C�) LOT 0 C� <br /> SUBDIVISION MYOdO PARCEL IDN 05 0 1 -C)CA(D-a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTRR- ADDIALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED.USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK- Vy i qa+f 01) '1 YNC4 t I - <br /> BUILDING SIZE 80 FOOTAGE=. HEIGHT <br /> =BUILDING 1$ VALUATiON`OF TOTAL CONSTRUCTION <br /> RUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES NO <br /> ..+H4+H4+H++H4 ................................... ...... <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN LILN�j <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY kytw \V f 4-l'on <br /> SIGNATURE REGISTERED FEE CURREN - I Y/W <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y./ N FEE CURREN L_XLN <br /> Address License#.F- <br /> OTHER COMPANY <br /> SIGNATURE -REGISTERED J' Y/ N.. I FEE CURREN <br /> Address License#- <br /> ................... <br /> 41 H11,so I HHH!1 1 HHHHHUNH -.01-11HIHNIIII IN <br /> RESIDENTIAL -Attach(2).Pidt Plans;(2)sets of Building.Plans;(1),Set of Eriergy:Forms;R-OW Permit for.new construction_ <br /> Minimurn.ten1,10)wqrkingdays after submittal date.:-Required onsite,:Constructl6n Plans;,Stormwater+Plans w/Silt Fence installed, <br /> Sanitary Facilities&.1.dumpster,-Site_Work Permit for subdivisionsfiarge projects" <br /> COMMERCIAL Attach(3)complete sets of Building Plains 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/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 Engineerid'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$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> 00, Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING .-(Front of Application Only) <br /> Rerooft If shingles Sewers Service Upgrades A/C Fences(Plot(Survey/Footage) <br /> Driveways-Not over Counter If-on public roadways..n6eds ROW <br />