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u ' City of Zeprytilis Permit Application Fax-813-760-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> 7'T""rT9f'i—I T <br /> J <= Owner Phone Number Owner's Name t c ,-. <br /> Owner's Address PC.O �� _` '" ' Yr <br /> T���'"}� .Owner Phone Number <br /> Fes Simple Titleholder.Name r» Owner Phone Number <br /> Fee Simple Titleholder Ad <br /> dress <br /> JOB ADDRESS (o LOT# I Z <br /> SUBDIVISION J�F i a !" �C� PARCEL iD# t: "" 6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ; <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ©"_ SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION • �� BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE `�3`��+�+ HEIGHT <br /> r`r-rR-t-rt-r'a"r"r7-4 a a rrx-r-r^r's-r�t�l-m-'-t'-e-r"r'r�-n"1-t�e'-e"rr'tt-�->n-e�-ras-r>z-r-r-n->a-r'9- j <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION " <br /> ELECTRICAL oo AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ �r �� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> i <br /> !x_..g o <br /> -4-4-g-C•-C-1-1'-6-4--0--i-�--a-�-t-1{--0-i-B-�i-�:-g-�-i-F-�r-1-C-+r7-3-;�'�8-�-:-�-E'er:-�-C-'•-C"-i�'-&--6-G�' a-9-�'-`i-{f-kv'-I�i�in°��-@�'6-6-1..t.. <br /> BUILDER j � ' _ r COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRER Y/N <br /> Address I 4� 4',? l=/r-<ea License# �" I <br /> .,ELECTRICIAN �.,./��- COMPANY �1n,c'J'0J�N"3 <br /> SIGNATURE d 1 REGISTERED Y/ N FEE CURRER Y/N <br /> Address 6�'"�-: �:���=�A"��r�`" r err �.�, License# F.,;-ci z X,�/410 I <br /> .. 4 <br /> PLUMBER _ COMPANY F' �� " ,f` - .,1i 4' A1' ;r� , <br /> SIGNATURE REGISTERED Y/ N FEE CURRER,^ Y/�N/ <br /> Address' <br /> '� a ram. *' T tlr l �� ,1 License# <br /> MECHANICAL COMPANY P'"6��i€` L• � ° > " - <br /> SIGNATURE � -E^_�-��� "' "_" —REGISTERED YI/ N FEE CURRER Y/N <br /> Address J�w } �.� ft°JS a a1� 'fir. C "d: 4 License# '1-4C 0,F 56� <br /> OTHER r ... - -- -- COMPANYd )I �r <br /> SIGNATURE ^� <br /> ,�_ 't REGISTERED Y J N FEE CURRER Y/N <br /> Address f '`�f /�� License# <br /> tlltttlll' IllttillItltIllllillitiiltllllllll111lI11l1l1@@@ ! @1111911 <br /> RESIDENTIAL Attach (2)Plot Plan:,; (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten (10)v::orking days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt,Fence installed, <br /> Sanitary Facilities& 1 dumpster;Site Work'Permit for subdivisions/large projects <br /> COMMERCIAL Attach (2)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)i )rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 7,1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2)sets of E-igineered Plans. <br /> '."***PROPERTY•SI.!,1VEY required for all NEW construction. <br /> .-0...f..[-8-i..l-d--l-E-1--i-i-d-.8-t-i=.i...':-�-�J..I-6-1-i-tS-.@-@--1.-6-b.d..8-.1-t-B-l.-li.-@.-➢-t-E...t-�i-i-1-l.-E..E...8..9�.L..!-&-1..Cc6.-@..�...&..Y�.@-9-6P.�8..�.. <br /> Directions: <br /> Fill out application completely. <br /> Owner�Contractor sign back Of 0plication,notarized <br /> If over$2500,a Notice of Coin n-.vncement Is required. (A/C upgrades over$7500) <br /> ** Agent(for the•contractor)or Pow(r of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs•if shingles Sewers :,ervice Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public rcadways..rieeds ROW <br /> G' _', <br />