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613-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received C. Phonsontact for Permittihst: CIO <br /> .............I <br /> Owner's Name Owner Phone Number <br /> Owner's Address' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS V)y1C5tf_y_)TX_W_Ahe_ Lly-) LOT# <br /> RE <br /> SUBDIVISION - 1 M j kj'eY PARCEL W 0 1 QD- 5o <br /> QQX W_ <br /> (OBTAINED FROMPROPERTY-TAX NOTICE) <br /> WORK PROPOSED" 'R NEW CONSTR ADDIALT' SIGN- 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEM,USE SFR COMM OTHER I <br /> TYPE OF CONSTRUCTION 'BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING 9 IZE' id'FOOTAGE: HEIGHT. <br /> .......... a a a 2 1 2 12 <br /> =BUILDING VALUATION"OFTOTAL CONSt-Fi6d"ON <br /> ]ELECTRICAL AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> A <br /> FWPLUMBING <br /> T <br /> [MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS Q ROOFING SPECIALTY, OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA -=YES. NO <br /> .......... <br /> BUILDER COMPANY, <br /> SIGNATURE REGISTERED LY.LN J FEE CURREN L_�N <br /> Address License# <br /> , <br /> ELECTRICIAK, COMPANY. <br /> ., <br /> SIGNATURE REGISTERED Y/ N FSECURREN <br /> Address License# <br /> 0 <br /> PLUMBER COMPANY V) <br /> SIGNATURE REGISTERED I Y/..N. I.- .-fSECURREN­ <br /> 3a <br /> Address H S ?L)64�)I tVYW xicpan-se-i OP g <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED .1_Y/ N FEE CURREN: <br /> Addres - License#. <br /> OTHER COMIPANY"' <br /> REGISTERED -1 Y/ N-1 FEE CURREN SIGNATURE LMILi <br /> Address License 9; <br /> .... <br /> RESIDENTIAL,?? Attach-(2),PW.PlarisM)sets'of Building Plans;(1)sef of Energy Farms; <br /> 6trudild ans:Stormwat&Plainsd SikFence Installed, <br /> RAW Pemilt for new construction.- <br /> Minimum-4en., ati., d6nS1[t6:­_Cb-n_Require <br /> Sanitary Fa�11ties4,._j.,dumpstpr,-Site Work-PerMiti.birsubdivi $fi@rgd'PM(ii;tsl-_",�",--...: <br /> ...... le WO sat-of <br /> COMMERCIAL Attach Page;(1ji ' Energy Forms.R-O-W Per"mit 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&I dumpster.Site Work Permit for all new projects..All commercial requirements,must meet compliance <br /> SIGN PERMIT Attach(2)sdis of'Eng­1`R__e"eir_6&'PI an'&, <br /> 'PROPERTY SURVEY required far_aII NEW construction.. <br /> -------- -- - ----- --- <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized % <br /> If over$2500.a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> M Agent(for the 6oniradci)or Power of Attom6y"(fiir the owner)would be someone with notarized letter from owner authorizing same <br /> DYER THE COUNTER PERMITTING .(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PloUSurvey/Footage) <br /> Driveways-Not over Counter if:on public roa0ways-iiiedi ROW <br />