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813-780-0020 City of Zephyrhiils Permit Application Fax=813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's Name trt f c� r. ¢= owner Phone Number �t <br /> Owner's Address -T�!e `er '"� �'' ^��'�"f°� '� �Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> FeeSimple Titleholder Address / <br /> JOB ADDRESS / . � ©��/`t -, 1 LOT# <br /> i <br /> SUBDIVISION �✓ V'�=� Ca i PARCEL ID# 0 "-/' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED 8"f-NEW CONSTR ADD/ALT SIGN 0 DEMOLISH, <br /> INSTALL - 8 REPAIR- <br /> PROPOSED USE F79— SFR 0 COMM L� OTHER <br /> TYPE OF CONSTRUCTION . ��'� BLOCK 0 FRAME STEEL 0 <br /> DESCRIPTION OFWORK <br /> BUILDING SIZE SQ FOOTAGE �8�g foz HEIGHT <br /> e-e-r-r-T-i p-ri-r-e-k-u^¢-B-a-e-a-r¢-s-�-a-c-r-e-si-a•'r-r�-�-n�rr`�-'ca c u "sue-9a-�s-a�e-�-�ar - <br /> =BUILDiNG $ VALUATION OF TOTAL CONSTRUCTION <br /> . IDS• vl�D , <br /> =ELECTRICAL $, AMP SERVICE = PROGRESS ENERGY W.R,E.C. <br /> =PLUMBING $ `2 <br /> =MECHANICAL $ `7 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> -�•-4--�'"�'-1'-'�-�--1'-G-+�-9--�•-e-6rG-i--F-�r-$-fl-�S-8-1-s-•9--"�' -c-F�-$-1--Esc--�t�°�r'�•6�• -;G�®c�sr° ` <br /> BUILDER µ.� _ COMPANY s1✓x - �)l 0 ''�`C'1__% _ <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> .ELECTRICIA(`I � COMPANY <br /> SIGNATURE ^" REGISTERED Y( N FEE CURREN Y i N <br /> Address . 0�' - �='00 °� '`� ��`� License <br /> . <br /> ,�-' ^ f j <br /> PLUMBER f�' _..,_._.— COMPANY <br /> .SIGNATURE '7 REGISTERED Y/ N FEE CURRER 07 Y}/N41 <br /> ,/ <br /> Address t •ors�j.f� mtA r�r c�. License# ��+i (,f��' 21 <br /> MECHANICAL COMPANY Cl e,,ry (� z � <br /> SIGNATURE ~( �` .t%': C.� - --REGISTERED Y/( N FEE CURRER I Y/N J <br /> Address J A G s ;,� �`, f?�e�a �rtf f4° ' License# � �0,75 410 I <br /> OTHER rv ---- COMPANY I���tTt�/, /,)/�' 'F �✓! J`/�l <br /> SIGNATURE.. ' '^T REGISTERED Y/ N FEE CURRER J Y/N <br /> Addressl License# <br /> 11111BI-i11' I1111 / ll :' Illtillilllllllltililllllllllllp1E1H1119B1091111198 <br /> RESIDENTIAL Attach (2)Plot Plan_.,; (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,..Starmwater Plans w/SlIt.Fence installed, <br /> Sanitary Facilities F, i dumpster;Site Work*Permit for subdivisions/large projects <br /> COMMERCIAL Attach (2)compietf:-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)\:-)rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities c: 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SiGN PERMIT Attach(2)sets of F',igineered Plans. <br /> "PROPERTY-SI!,gVEY required for all NEW construction, <br /> -Directions: <br /> Fill out application completely. <br /> Owner Contractor sign back of x,tplication,notarized <br /> If over$2500,a Notice of Comn i2ricement is required. (A/C upgrades over$7500) <br /> *" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner:auttidtizing°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 />