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.813-780-0020 City of Zephyrhilis Permit Application Fax-813-78M021 <br /> Building Deparbrnent <br /> Date Received <br /> Phone Contact for PermkUnQ 1(813 00 (D M rQ <br /> rA 06-mer Phone Number <br /> Owner's Name No ad b <br /> Owner's Address JP_,jVC[ Own.,Ph...Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS G'aU &VC,( ZrAALVUL64, LOT# <br /> SUBDIVISION F PARCEL ID#102-Z(11 C101 0 C-)25c)0-oc)20 <br /> (OBTAINED FROIA PROPERTY TAX NOTICE) <br /> WORK PROPOSED HEW CONST710 ADDIALT SIGN DEMOLISH <br /> R INSTALL [F-1 REPAIR <br /> PROPOSED USE = SFR Q COMM L.J OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK p = STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FO 6TAGE HEIGHT <br /> C�IBUILDING 07,0 VALUATION OF TOTAL CONSTRUCTION <br /> 00 <br /> E-ZELECTRICAL 5 AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING S <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> REGISTERED I YIN- W CURREI, L_y N <br /> SIGNATURE L__j <br /> Address ucense# <br /> ELECTRICIAN COMPANY a. -a-4 IT(, <br /> SIGNATURE )�mo- REGISTERED Y I N I ,xtE cuRm I XIN <br /> Address 14NI mowr��I?d Wnl"Oy'p-c/ License#I F IS oc) T�� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEECURREN Y/N <br /> F <br /> Add. License#1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURRt4\ <br /> Address License#r <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN L_XLN J <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of BuildinglPlans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)%mridng days aftersubmittal date. Required onsite,Construction Plans,Stormivater Plans vvl Silt Fence Installed, <br /> Sanitary Facilities&I dumpster:Site Work Permit for subdivislons/large pmlects <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 subm' Ittal date. Required onsile,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facifilles&1 dumpster.Site Work Permit for oil now projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. ; <br /> —*PROPERTY SURVEY required for all tNEW construction. <br /> - 483; <br /> Directions, <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized*U Over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the qvmer)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Remoftifsbinglas Sewers Service Upgrades A/9 Fences(PlotfSurveyffoctage) <br /> Driveways-Not over Counter If on public roodways-needs ROW <br />