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Fax-813-780-0021 <br /> . . City of Zephyl'h'ills Permit Application . <br /> Building Department <br /> Date Received I?` <br /> Phone Contact for Permitting - <br /> -[T �i <br /> Owner's Name - c j-, ¢= Owner Phone Number l <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder.Name -r i '� �i Owner Phone Number <br /> i <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 19y \ r- LOT# 'Er <br /> SUBDIVISION L=''"�r PARCEL ID# 5 r - <br /> (OBTAINED FROM PRO ERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN F DEMOLISH ; <br /> INSTALL REPAIR <br /> PROPOSED USE F-9f SFR COMM OTHER <br /> TYPE OF CONSTRUCTION _ �� 'BLOCK FRAME STEEL p <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE �! 7 SQ FOOTAGE 3085 (� HEIGHT <br /> r-rl a a �P—t'-e'^t"YTP"TF—k-4"�16T"r"a�'T�AT6'r—r"r'PT <br /> BUILDING $ Coo VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $. ow AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ (4 VALUATION OF MECHANICAL INSTALLATION ' <br /> t <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS �• FLOOD ZONE AREA [ YES NO <br /> -4--II-9--i-i-6-F-g-i'-5--1-C--i-C--i-i-C-i-8-�6-�1-i- -s`-9-E--Ir-:-4 fir,'- - 9, '-r.-R-i+-i-i-➢--6-1�' <br /> BUILDER' J� COMPANY F.. -�rJ.''A-c-""� �1r C <br /> SIGNATURE REGISTERED Y/ N FEE CURRER Y/N <br /> Address %cUl 1 f l e-<,o.-r) License# - cam' 0 6 <br /> ..F-LECTRiCIAN �'� COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRER Y/N <br /> Address ds'?- '1����= P �rC° , License# r c" 4c r <br /> PLUMBER COMPANY f p ) a+ ~ <br /> .SIGNATURE REGISTERED Y/ N FEE CURRER YY/�N/ <br /> Address �£ rr. mids��. .t License# <br /> MECHANICAL' a r COMPANY ,, ae, r ° x <br /> SIGNATURE f �" " �' `--REGISTERED I Yq,N FEE CURRER Y/N <br /> Address . License# <br /> OTHER � f j COMPANY <br /> SIGNATURE ' <br /> REGISTERED Y/ N FEE CURRER Y/N ' <br /> Address License# <br /> 11I611iNi1' litiilii = iiiiittitiitltllli11II1iiEitllllilIIlQl61. 7i90fIp98i991 <br /> RESIDENTIAL Attach(2)Plat Piar:a; (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten (10)vxirking days after submittal date. Required onsite,Construction Plans,Stormwater Plans wi Slit,Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Wark'Permit for subdivisions/large projects <br /> COMMERCIAL Attach (2) complev. 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)\ Irking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities c..1 dumpster.Site Work.Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2)sets of Engineered Plans. i <br /> ""*PROPERTY•SI.!,IVEY required for all NEW construction. <br /> .,.a..�..b-i-.8-1-t-7-.6..-0-a..l--i-q-Y-f..-0..•',�-1-�-1-..d-i-R-lS-4-1F.-i..II-H--'�i-.6--i--i.-b..,&-i.-6--�-I!-6-6-i-i..5..8-6--d--�-4..9--@-1-E1...8�.D-i...&.i-�9-6.-^..8.-0..E-. <br /> Directions: <br /> Fill out application completely. <br /> Owner�Contractor sign back of 0plication,notarized <br /> If over$2500,a Notice of Comw.vricement is required. (A/C upgrades over$7500) <br /> ** Agent(for the contractor)or Pownr of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy Of contract required) 75p b: a, .,.><•„r,, ,.-. ,...,,-: <br /> Reroofs•if shingles • Sewers t,ervice Upgrades A/C Fences(Plot/Survey/Footage) ." <br /> Driveways-Not over Counter if on public roadways-needs ROW _ <br />