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city of Zephyrhiils Permit Application Fax=813-780-0021 Building Department Date Received Phone Contact for Permitting -- Owner's Name fy; r-+ E= Owner Phone Number ��1� ----*--�l--�� y Owner's Address ' ' �'� �" ' �'� TG.n.,�C��J�S� 59 Owner Phone Number Fee Simple Titleholder Name -,'+• 't;.. Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS y"\ LOT# SUBDIVISION ✓ '��' PARCEL ID# (?g-,'," `�6�G'K�' 120b`60 (OBTAINED FROM PROPERTY TAX NOTICE) - WORK PROPOSED NEW CONSTR R ADD/ALT SIGN 0 DEMOLISH INSTALL REPAIR PROPOSED USE �`~ SFR COMM :� OTHER TYPE OF CONSTRUCTION . �/ BLOCK FRAME STEEL C] DESCRIPTION OF WORK J'4 �C �c�t � FeTDz4 2-12—C-4)-t BUILDING SiZE �— ��3�+;f HEIGHT SGiFOOTAGE ' 'a-r"c-!"r~�"s"r-e'Y->t-r'-�-r-c='r•-i"c-s-e-1"7'�-t"C'�"rt-r-rri'-r-i-r'r-rrc'�-t-r"�"r-r'r"t-r-T"r^T�"r'e•-rrir-rt-i'-s-e"r'r',t"1-�r- =BUiLDiNG $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $, FFc'go AMP SERVICE PROGRESS ENERGY W.R.E.C. =PLUMBING =MECHANICAL $ �i g VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING 0 SPECIALTY OTHER FINISHED FLOOR ELEVATIONS w FLOOD ZONE AREA DYES NO - -C-{-i-i-¢-{-•i--�-i-i-i-i- -F�-C--C-�--6-4-1- -t-:--1-F---:-Ct 0= 4-11-4-fr-+P-; - -➢--G-:-➢"�..;-lt•ai�i-°.�-i-Q�,1-8-i-tl- BUILDER .�f ;,� � COMPANY �✓� � °"'s�`� '�' � SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address �] ��'Gts drt ,� r ' 1 ��' License# ' -G ' ..ELECTRICIAN f �c-a COMPANY G°�'`n�`,.�n°7�•��',�`�' SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address a'd � ��"o"c� l'f rf' License# fry cc < G � PLUMBER COMPANY E f"' lr�� a,�' .• d 6' � ��'`r��"F .SIGNATUR - REGISTERED Y/ N FEE CURREN Address }"', � , �jl ,`!r License# (T y"ii� o elF' MECHANICAL COMPANY �";l �� " SIGNATURE P, `REGISTERED Yak/ N FEE CURREN Y/N . ._.' �� "� � ,F€r��a ?r tf � 'j= License# c&� , Address C ��7 ' ._.._.__ �t-- ��R�� IF I OTHER `, COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN L_YIN Address �� - rt`P /�j "?y License# F Iitlttl { { i' 1itt11tiiftltliltTtliiiitiliTlllltiltltl11t11I .1i191Ctl9iBltltl111'1 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/Silt.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/Slit Fence Instalied, 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. "PROP ERTY'SURVEY required for all NEW construction. ..i..4..6-1-=t-'.,-�-�'-5.-.'-.t..t-i-f-1-.{.�i.,�-t-=8-b-�-i-.1-6-i-f-i.h..Q-.4-#-.b-�-r4.-i.S-F-4-{--1l-i-t-1-U.i-i.-{-B�I�.li-1--A-1--@-➢-0.�-8-.Y�-0e9-0-4.L-0�i.+ 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) ?1* Agent(for the-contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs•if shingles • Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW