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813-780-0020 City of ZephyrhillS Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting - <br /> Owner's Name C ,- c I-, <: Owner Phone Number ��d f� <br /> Owner's Address �, ` `� 'r' �'"r T�/y,fpJu^ �' Owner Phone Number <br /> Fee Simple Titleholder Name ,� —� Owner Phone Number —� <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESSE a �1 1 !'G i � " LOT# <br /> SUBDIVISION L r=F' PARCEL lD# 1`' �n (� �� ' 01f 6 y f <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH . <br /> INSTALL. REPAIR <br /> PROPOSED USE �''� SFR 0 COMM �� _ OTHER <br /> TYPE OF CO,NSTRUCTiON . �� BLOCK : FRAME. STEEL 0 <br /> DESCRIPTION OF WORK rlel:,o -VI <br /> BUILDING SiZE SO FOOTAGE �'� HEIGHT [� <br /> '.r'x-e-s-Y-¢'-a'i-t-�-•a-P'-r'�-i-R"r-�-c-�r~�-�-g-¢-'a��-�^a-e->a-t-v�- r-a.es°'i n�-e�'-C���a�°»�o��e-��ra-+r�a�•- <br /> =BUILDING $ L �0= VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $. AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> OMECHANiCAL $ �� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ED/ ROOFING SPECIALTY �_i OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ' NO <br /> -�i-➢-➢-i-8--➢-➢-➢-➢•-G-�'-@--9-•�•-➢-y-€-➢-E-�-�•-8-➢�,°-➢--E-�-ir-➢-,"rs`- "�Ilt�:•�-�"�_�" ➢�°�➢�r°�°e� i��°�°�i ice^-6�5��P� <br /> --BUILDER �1 ,,/ COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address �o� ��vl l��r'<in License# <br /> 1=LECTRiCiA(V ,! --- COMPANYG�,^d'FC�°n�. a?k? (' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> �'d. '�:>`= �O" ram- License# <br /> Address �� f?' -- <br /> PLUMBER COMPANY 1' "!' � •fi �� � � � � <br /> .SIGNATURE � T_! REGISTERED Y I N I FEE CURREN Y I N <br /> Addresser License <br /> MECHANICAL r r COMPANY <br /> SIGNATURE f«^ "�C/� �"' _'`_"-REGISTERED Y`/ N FEE CURREN Y/N <br /> Address ✓Hai�ri,�r" �. f*uca,a ,,.u! f�:r j License# CAL-� <br /> OTHER,• -_ -�_.._ COMPANY .�� �t /.v vl c, � _4 J)..' f <br /> SIGNATURE' REGISTERED Y/ N FEE CURREN LY/N <br /> Address !� l{ !" / n License# "- <br /> ➢ l.➢ � 6 ➢ ➢ ➢ i' i1 ➢ ➢ ➢ ➢ i1 :I ➢ ➢ ➢ i ➢ i ➢ ➢ ➢ ➢ ➢ ➢ Il ➢ ➢ ➢ ➢ ➢ ➢ ➢ ➢ ➢ Il ➢ 18p ➢ ➢ Il ➢ ➢ ➢ @ ➢ ii ➢ ➢ ➢ ➢ ➢ ➢ ➢ B ➢ ➢ ➢ i . <br /> RESIDENTIAL Attach (2) Plot Plar:a; (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)%-orking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit.Fence installed, <br /> Sanitary Facilities&; i dumpster;Site Work'Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2).compietl: Sets Of Building Plans plus a Life Safety Page; (1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten (10)i. )rking 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.Ail commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2)sets of F,igineered Plans. <br /> "PROPERTY•Si.,:tVEY required for all NEW construction, <br /> ,-➢-.6.-b...i-.d-.➢-�i-.➢--�-�-6-➢-➢--➢.-.B.:�i.,:.�.➢-$-�,-➢-�➢vi,.ib.-$.-ge.C-@-4•-$-pe.&�8,.s4-@�9-G�8- i> ➢- E4=C�g�Il-.m19�.m➢.�➢�.u..�rs°,t�B®5� <br /> "Directions: <br /> Fill out application completely. , <br /> Owner§L Contractor sign back of upiication,notarized <br /> if over,$2500,a Notice of Comnsancement is required. (A/C upgrades over$7500) <br /> �* Agent(for the contractor) or PO of Attorney(for the owner)would be someone with notarized letter from owner;-authbrizirig.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 />