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813-780-UU20 City of ZephyrhiliS hermit Application <br /> Building Department <br /> Date Received:' _ . 0' Phone Contactforpermitting <br /> Owner's Name S� to e V ti d e Owner Phone Number 13 $3Liz 5 <br /> Owinees Address. `� l l�� (i, td l h ff v(' Owner Phone Number'. <br /> Fee Simple Tltleholder'Name'` Owner'PBone'Number, . ' <br /> Fee Simple Titleholder Address S°t'v-1 C <br /> JOB ADDRESS .Sa e LOT# <br /> SUBQIVISION A PARCEL ID#: <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK"PROPOSED NEW'CONSTWp ADD/ALT L] SIGN' C] Q" DEMOLISH <br /> f e. INSTALL AQ °REPAIR <br /> PROPOSED;USE• Q SFR " "COMM' Q OTHER <br /> TYPE`OF CONSTRUCTION �. BLOCK Q FRAME. 0 STEEL <br /> DESCRIPTIONbF WORK r r J <br /> -BUILD FOOTAGE ; HEIGHT.• <br /> C) J......I. <br /> QBUILDING Uv VALUATION'OF TOTAL CONSTRUCTION <br /> =ELEC,TRICAL AMP SERVICE Q PROGRESS ENERGY 0 "W.R•E.C. <br /> PLUMBING. $ Z54 <br /> QMECHANICAL $ VALUATION OF MECHANICAL.INSTALLATION x <br /> =GAS Q. ROOFING. Q SPECIALTY. Q OTHER �{D <br /> 11 d <br /> FINISHEDTLOOR ELEVATIONS FLOOD ZONE AREA YES NO l:� <br /> :BUILDER COMPANY e�&Te c tj <br /> SIGNATURE �'� REGISTERED Y"/ N;:..' ; FEE:CURREN <br /> '� <br /> Address "License:#' :C IQ j D <br /> "`ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N fEE;CURREh. . <br /> Address' ' - :License#,. <br /> PLUMBER4„ "COMA ANY;; <br /> SIGNATURE"+ REGISTERED ., Y/ N::' :_ FEE CURREK: Y/N <br /> Address. ....License#' ~ .. <br /> MECHANICAL :.C,OANPAPIY. <br /> SIGNATURE"'' `` REGISTERED Y/'•N FEE CURREI, Y./.N <br /> Address>r.:. License.# <br /> COMPANY <br /> '$IGNATUiZE REGISTERED Y/':N FEE CURREf.` Y/N <br /> 777 <br /> >:. _ <br /> Addresx <br /> • <br /> - "License°# <br /> .".. cv; q; •- ..- .-, .. .:.a"a;-x;...r._ ,:�..:'YS':.I:a?iJr.�,.,.a:.''".'yp';?n..1�.Y';F.c.�.4;:;.:. •,..F -- <br /> -:RESIDEPITIALr,x, ;Attack,(,2 Fot,P.,lans,.(2)sets.of8uildingplans (1)isetofEn'ergyFornis;R-O-W;Permlt:fornew.constiuction; <br /> �. <br /> y,r rfi yr'_;IViiAi{[IURtaten(1U)iyr4�kingpdaysafter$ubrlaittaidate.`+Required'pnsife Constructlorr Plans Sto[iiLlwater Plans w/SiltFence.installed; <br /> Sariitary;l=�acilif es,&f 1tidumpstef;51 Work Permit for sutidiv�sio*I0.r+g9,vN acts <br /> �:C.OMINERCIAL Attg ;'j2)'complete's'ets'ofBuilding�Pian's"plus a'Life Safbt'Page;(1)set of Energy4Forms.R-O-W Permit for new construction.' <br /> Minimum tern(10)working,days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Ferroeinstalled,_ <br /> Sanitary Facilities&.1 dumpster_Site Wo11C Permitfdt ail-, dW`p+o ects.All commercial requirements must meet compliance <br /> ;SSIGN-P1~RN�IT -AttacTi`( "sets;of Eiagtneered;Flans <br /> ""PROPERTY SURVEY regulredfor,all,NEW construction.. . <br /> Directions: <br /> R`f`=. 'Fill=out:application completely. <br /> ;Owner.&-Contractor-sign:back-of application,notarised <br /> ri If"ovflv 2500-a Notice-,.' ;Commencement is required. (A/C upgrades over$7500) <br /> ;,..:•.:.;i�gent(fdr°tlie'cunt[actor)dor'PoWer,�of'Attomey'(for'the owner)Would tie someone with notarized letter from owner"authorizing same <br /> - <br /> THE'COUNTER PERIIAIT rIN_G:...: :•:,:.(copy of contracLrequired) <br /> >:Rerogfs ffaFi1 016E Sewers Service Upgrades A/C ' . Fences(Plot/Survey/Footage) <br /> Drlveways-Not over Counter if on public'foadways::needs ROW <br />