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813-760-002o City of Zephyrhilis Permit Application Fax-813.78"021 <br /> Budding Department y <br /> Data Received Phone Contad for Permitting DO'r/ <br /> Z � <br /> Owner's Name [�/t�J— �Gl/f(1G Z Oumer Phone Number <br /> O..e.Address /� tit 4 C(Az& Owner Phano Number <br /> Fee Simple TAtohotder Name, Owner Phone Number I I� <br /> Fee Simple TiUeholder Address (yy <br /> JOSADDRESS /r/Lt r� �LOTS <br /> SUBDIVISION C Yj J tYl/is PARCEIL 110 <br /> (oMn t0flW FR0U PROM-6M Tree roTux) <br /> WORK PROPOSED NEWCONS7n� ADDIALT SIGN ® = DEMOLISH <br /> Eff LL INSTA REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK I�"/ I6 ka' `J l�b ct �s Cd/ -cal`�a /rSJ�r►1 t$c l P "1 <br /> ��BUILDING SIZE so FOOTAGE U01 H.11W fJ j <br /> UILDING S %� Ul_ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBlNG is <br /> -1 V <br /> =MECHANICAL 5 VALUATION OF MECHANICAL INSTALLATION t I <br /> =GAS ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER <br /> COP Y <br /> SIGNATURE REGISTERED Y/ N fg CUiZ2Er. Y I N <br /> Address A, License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE CC REGME ED Y/N FM Gout Y 1 N � <br /> Address I Ucense# —T ! <br /> SLIMIER COMPANY <br /> Y <br /> SIGNATURE REGISTERED Y!N FEECIJRREn <br /> Address License#F— <br /> MECHANICAL COMPANY <br /> I <br /> SIGNATURE F aEEc,a"STe�aED YIN FEE ptWiF.f. LyjN <br /> Address { License# <br /> OTHER COMPANY <br /> SIGNATURE F RE$STERED Y,/N FEE CURRE1. Y/N <br /> Address License#F_ <br /> rrrsesssfisrtseiestrteeereteaestaeree >tes � osss � sieeessse � eis � s >t � � � ss � <br /> RESIDENTIAL. Attach(2)Plot Plans;(2)sets of Building Plans,(1)set of Energy Forms,R-O-W Permit for new construction, <br /> Minimum ten(10)wodcing days after submittal date. Requ'sed onsite,Construction Plans,SiomwAAer Plans w/Silt Fence installed, <br /> Sanitary Fardihies&1 dumpster,Site Work Permit for uOdivisionsliarge projects <br /> E COMMERCIAL, Attach(2)complete sets of Budding Plans plus a Life Safety Page-,(1)sit of Energy Forms.R-O-W Permit for new conshuction. <br /> Minimum ten(10)working days after submittal date. Required onsd%Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ail commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY wired for all NEW construction. <br /> Directions:• ' <br /> Fill out application cornpleft. <br /> Owner&Contractor sEgn back of application,notarized <br /> If over$2500,a Notice of Conunencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)woad be someone with notartted letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING ' (copy of contract required) <br /> Reroofs'd shingles Sewers Service Upgrades A/C Fences(Plat/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />