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813-780-0020 City of Zephyrhifis Permit Application Fax-8137804)(121 <br /> Building Department <br /> Date Resolved 11DI 1-j g S I�. <br /> Phone Contact for Pormitilln <br /> Owner's It-me Owner Phone Number <br /> Owner's Address I HUD) U3 cvest> S+, Owner Phone Number <br /> Fee Simple Titleholder Name i Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �ry 4C—A vco I (a LOYD <br /> SUBDIVISION PARCEL lD#j()5-RW-91- SO'-00UDO-0050 <br /> (OBTAINED FROU PROPERTYTAX NOTICE} <br /> WORK PROPOSED R NEW CONSTRR 'ADDIALT' SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR = COMM OTHER I <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQFOOTAGE=, HEIGHT'[:= <br /> W4VA44444 ............. <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. <br /> OPPLUMBING Is ub) OR <br /> =MECHANICAL Is I VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER I ANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN I YIN <br /> Address Ucanse# <br /> ELECTRICIAN COMPANY <br /> 'SIGNATURE REGISTERED I YIN FEE CURM <br /> Address License OF- <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YVN . FEE CURRM I- WN <br /> Address License#1 Del D <br /> PASCHAMCAL COMPANY = <br /> SIGNATURE REGISTERED 1,YIN FEE CURREK -L j_XL N_ <br /> Address License#F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I'Y/N FEE CURREN <br /> Addrous License# <br /> RESIDENTIAL Attach(2)PlotPlans;(2)sets of Bufthg-Plafts;(11)Sol of Energy Forms;R-P-W Permit for now construction,, <br /> Minimum ten(10)Working days after submittal date.:Required onsite.'Constructlon Plans;_Stormwater of*ans wl Silt Fence installed; <br /> Sanitary Peollitles&lldumpptor,Site Work Permit for subdivisto.minargo projects. <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page; <br /> go;(1)set of Energy Forms.R-OW Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans.Stormn-vater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all now projects.All oomm etclat requirements.must meet compliance <br /> SIGN PERMIT Attach(2)sets ofEnginedrid Plans.. <br /> PROPERTY SURVEY required for all NEW construction. <br /> -1 4"441111111 1.......... PAR 11"AR 111111 1-j"I 11111 <br /> Direc <br /> tions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> li over$2500,a Notice of Commencement Is required. (A/C upgrades over$7600) <br /> 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 /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Drivewayu-Not over Counter if on public roadwaya..needs ROW <br />