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-813-780-0020 City of Zephyrhilis Permit Application Fax-813aeo-0021 <br /> f Building Department <br /> s _ j <br /> Date Received — Phone Contact for Permittln <br /> Owner's Name V 5 Owner phone Number <br /> Owner`s Address �}5© tl� V Owner Phone Number <br /> Fee Simple Titleholder Name Phone Number <br /> Fee Simple TMehoid Address <br /> JOB ADDRESS - LOT# <br /> SUBDIVISIOAI CEL ID# Zr✓`-2! 60(pQ-CS0004--6�Q <br /> (OaTAtNEO FROM PROPERTYTAX NOnCEI <br /> WORK PROPOSED e NEW CONSTR 8- ADDIALT GUSH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM L.� OTHER _ <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME STEEL Q _ <br /> DESCRIPTION OF WORK tl19fR1/ !1t?»-illt)rnill t� manvrYLPt1 f SY <br /> BUILDING SIZE _ Sit FOOTAGE HEIGHT <br /> BUILDING Q(5) VALUATION OF TOTAL CONSTRUCTION <br /> �I <br /> =ELECTRICAL $_ AMP SERVICE Q PROGRESS ENERGY = W,R,E,C. <br /> =PLUMBING $ <br /> =MECHANICAL. S I VALUATION OF MECHANICAL INSTALLATION "ram' <br /> =GAS Q ROOFING 0 SPECIALTY = OTHER l/ YJJ /V v <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> - - - - - - - - - - - - - - - - - - - - - - - - - <br /> BUILDER COMPANY <br /> �- c! !.�•�lK��" -- <br /> SIGNATURE S t RPOSTERED (�(,;I�Y/-/-N- F CURREn __ <br /> Address 1 - - (C 2j-. _ C E I...'�''"-J License# E�--';'�J <br /> ELECTRICIAN UANY law: <br /> � r <br /> SIGNATURE 1_ RE_GISSEREO ,^ Y/-N `:G�URREA-- Y_I N <br /> Address "1 .1 1 I o( ! Cf K Vic/ License# <br /> PLUMBER j I COMPANY <br /> SIGNATURE _ REGIsrERED '�Y 1 N FEE cURREf:'- L'Y/N- <br /> Address _ License#F�-COMPANY <br /> MECHANIC <br /> SIGNATURE _.. REGIsrERM YIN N FEE Cu.._ � _ RREn <br /> Address - License#F <br /> OTHER j COMPANY SIGNATURE I REGrsTEREn I YIN FEE txL�RREn`'Y <br /> Address i ---1 License# [ . u <br /> 111IIIIIIallIIIIIii11111111!111111IIIIIIIII111111111111111111IelIaII <br /> RESIDENTIAL Attach(2)Not Plans;(2)sets of BuildingjPlan§;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)wortdng days after submittal date. Required onsite,Construction Plans,Stormrafer Plans vil Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Wo*Permit for subdivisionsllarge projects <br /> COMMERCIAL. Attach(3)complete 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)working days after submittal date. Required onsite.Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ! - <br /> PROPERTY SURVEY required for alli EW conshucdon. <br /> Directions: i <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,rater bed i <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades'ever$7500) <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 (Front of Appficalfon Only) <br /> Reroofe if shingias S%%mrs . Service Upgrades Alb Fences(Plot/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways-needs <br /> p ROW <br /> r <br />