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8•13-780-0020 City of Zephyrhiils Permit Application Fax=813-760-0021 Building Department Date Received Phone Contact for Permitting -- Owner's Name �-t G c� r-+ - Owner Phone Number �� Owner's Address ��Qv��`fie " '�' `r _T/)f0 /Owner Phone Number Fee Simple Titleholder Name �- G r Owner Phone Number Fee Simple'Titleholder Address G} j JOB ADDRESS" �� Q 0 (Qt Y LOT# ( l Q .SUBDIVISION ✓ 1= e!'G Ca PARCEL ID# � -r, (OBTAINED FROM PROPERTY TAX NOTICE) ' WORK PROPOSED NEW CONSTR 8 ADD/ALT SiGN Q DEMOLISH INSTALL REPAIR PROPOSED USE F-9— SFR Q COMM C� " . OTHER" TYPE OF CONSTRUCTION " � BLOCK •: FRAME L-_� STEEL DESCRIPTION OF WORK BUILDING SIZE SQ FOOTAGE r HEIGHT "r-n-Irrc=r�--t-rr•r'•r-s-'�-r'r'9"r'yr-re"mr-mrr"t-r�r�=�rf-e"�'-e-rr-►'t'r-F-r>t-r'a-►'-n-ir>r's_¢_t,�e"Q"r4-a-ire-o-a�- =BUILDING $ Y f � VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. PLUMBING =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION obo GAS Q ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS S i FLOOD ZONE AREA =YES NO -4-C-A�-�-1-1-1-1--G--FS-4-6-0-G'-i--S�-1-t'-t-�Dl'-�'-O-G-:--1--i-c-:-C-�-ti-C-e�-S-�' ii'-:-'7'-fry-�'-t--8-E-6--m-�6-'°�'l-l--!"�°r�0m,5�•r;m°.��&-C-,'+•-�-8--'L- BUILDER � `, COMPANY —D c) ' `A-C-```' �1tiC SIGNATURE REGISTERED Y) N FEE CURREN Y/N Address Zv1 J� GG5.� t � �?' e" License# ELECTRiCiA(I -2c�,"•' � COMPANY �"l?�Fa� l �3 �' 7�'A SIGNATURE p REGISTERED Y/ N FEE CURREN Y/N Address 4F'� �='p"° 0" License# I: � PLUMBER ` _ _ COMPANY lq � .SIGNATURE REGISTERED Y/ N FEE CURREN Y/N,/ Address f"'f i f1 .�_ f ''�- License# ,1`.T.'i c MECHANICALF r 1 13 e/ COMPANY /�i 'r �di tl Vq SIGNATURE f r` ^'' rG" ^- w_---REGISTERED I Y1 N I FEE CURREN I Y/N Address / �%-s' �,^ G"� �`� a'aFtr�,��r ` License# c4IU ,J, f�7f> � OTHER _ ---T COMPANY jN p't,t 11 /J9,0. ,C=/.'":�-�f' SIGNATURE a REGISTERED Y/ N FEE CURREN Y/N ,Z Address ?11 �� /l� ' £j' A License# �— Iltlll ,! ! C1lttI11111itttltllllltllllt ! ! 11ltlI111111.$ tttllitllll1110"1 RESIDENTIAL Attach (2) Plot Plans; (2)sets of Building Plans;(1)set of Energy Forms; R-O-W Permit.for new construction, Minimum ten(10)working days after submittal date. Required onsite;Construction Plans,Stormwater Plans w/Siit.Fence installed, Sanitary Facilities&1 dumpster;Site Work'Permit for subdivisions/large projects . COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten (10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ."PROPERTY-SURVEY required for all NEW construction. -f-1--l-.l..LEI--' .➢-d--i-1-i-�F-t--i.=i�4--{-.d-i-d.�-1-d-i...1-0-.i��-.8.-6-11-k-l-B-n I 1-9--E-6 Directions: Fill out application completely. Owner$�Contractor sign back of application,notarized If over$2500,a Notice Of Commencement Is required, (A/C upgrades over$7500) '* Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter^.from`owner authorizing same JVER THE COUNTER PERMITTING (copy of contract required) leroofs"if shingles � Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW