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6'13-7e0-0020 City of Zephyrhil!s Permit Application Fax=813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting - <br /> T"Tl-3T1-1 I " 1- (y <br /> Owner's Name c, s: Owner Phone Number Ci �� U <br /> Owner`s.Address p ` i Gs'1'!���� � Owner Phone Number <br /> Fee Simple Titleholder Name j s-t: Owner Phone Number <br /> FeeSimple Titleholder Address <br /> JOB ADDRESS - S - VCA ?36-q LOT# Z2 <br /> SUBDIVISION J F� 1�'L'-('"G C=4 G" PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR R <br /> ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE F-9— SFR COMM " ' .,� " . OTHER <br /> 1TYPE OF CONSTRUCTION , �� BLOCK F FRAME 0 STEEL <br /> \DESCRIPTION OF WORKrl eL J <br /> BUILDING SiZE �- SO FOOTAGE Lj 3 HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $. AMP SERVICE 0 PROGRESS ENERGY 0 . W.R.E.C. <br /> =PLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIONv �� Z <br /> GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> •-b-C-i-1-I--1 -i-1- '-F-4-4-•G- -G-1--1- -G-•0-9-i-y--1--1- -W F-Ir�1-I-4-4-'i�:••;r•G-i a o-ll ; ".74 1l-ll r•p-1-a-1 <br /> BUILDER ;„/ COMPANYr` - -� c1 `'�-c� '� 2-1"f' C <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y(N <br /> Address Jc �c7�, J� I c-cin.� r^ J��a� �- t�Eo5�t� (v <br /> License# <br /> .ELECTRICIAN -�It . COMPANY �1? <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address �"tf '� .:�* License# d� % � <br /> PLUMBER COMPANY /0,2"/�` C1 <br /> SIGNATURE-~ <br /> REGISTERED Y( N FEE CURREN Y/N i <br /> Address ,1 'F ?, , ` License# a rc ow-2� <br /> MECHANICAL COMPANY �ll( G* �dJ �� • " <br /> SIGNATURE f `""G/` _-_----REGISTERED Y// N FEE CURREN Y/N <br /> Address . ,F:f /,�G.x` � f3�Ca��'�lriGr f'`1`cr ,,��- <br /> � License# �4��,;>,5 fi06 <br /> OTHER , COMPANY L/It i .�''/�/7I.'•./' s7)i'- <br /> SIGNATURE tREGISTERED Y/ N FEE CURREN Y/N <br /> Address tl t� �!f j License# <br /> iitilllllllililil11111111111l11l111111111i1i1t1lIt .11tltlil ! llii1111 <br /> RESIDENTIAL Attach (2) Plot Plans;(2)sets of Building Plans; (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 subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets Of Building Plans plus a Life Safety Page; (1)set of Energy Forms.R-b-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 /> Sa itary Facilities&1 dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance <br /> SIGN PERMIT A ch(2)sets of Engineered Plans. <br /> PROPERTY•SURVEY required for all NEW construction. <br /> Directions: <br /> o ns:.i--A--A-Directions: ' <br /> Fill out application completely. <br /> Owner 4 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$75o0) <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 (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 roadways..needs ROW <br />