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w City of Zephyrhiils Permit Application Fax 813-7saoo2l <br /> Building Department <br /> Date Recelvedtr � <br /> Phone Contact for Permitting -- <br /> Owner's Name C - eti j-, Owner Phone Number <br /> Owner's Address p r ��fl"''f�'�'J� �.�Owner Phone Number <br /> Fee Simple Titleholder.Name �- G ,r�• u� Owner Phone Number <br /> Fee Simple Titleholder Address tt <br /> ,JOB ADDRESS W /� ( y e LOT-4 <br /> SUBDIVISION PARCEL ID# L� "� l� A` "'0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN � � 0 DEMOLISH <br /> INSTALL• • REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION , �� BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK (rl�s`•L �•,�. (�"�' cy► 'Ss�c��.' fl`►�' � � ��"L "' { `. <br /> BUILDING SIZE �— S4 FOOTAGE 1 �S HEIGHT <br /> t^r"r'-t"�-'1-�'s—� 0"rTP�I— <br /> =BUILDING $ `Gst L =J VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $, r CO ID AMP SERVICE PROGRESS ENERGY 0 . W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ 5t �� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS d ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> ➢�..➢�..:I...p.p..¢.➢. i..➢..i..l .i..F r�➢...i.�i..�.pal..➢ .➢-l-i••:-+ ➢..;..;r.➢..1..➢_F..:T➢.. .➢ It <br /> BUILDER 'IA5-� ,• �_. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address %a�+oC�r�%�f z�G�.n7 ,� I" I -inn ��"' , c_G �c 6 <br /> License# <br /> ..F_LECTRICIA� 6 +-f / COMPANY <br /> SIGNATURE �+ REGISTERED Y/ N FEE CURREK Y/N <br /> Address License# Qi4t <br /> PLUMBER /COMPANY +� I <br /> SIGNATURE REGISTERED Y/ N FEE CURRRREN Y/N � <br /> Address �' f '� �t� rr+�< .' License# 1 t a4c- <br /> MECHANICAL w r COMPANYjr <br /> SIGNATURE t�^ r _" '� —REGISTERED Yrrj N FEE CURREn Y/N <br /> Address ✓` aid ��"� F��r+Es� qua a`��Ct/ �e �� k <br /> �' License# <br /> OTHER `� old` d` .1 -�• �-.. _.•..-.--°-.-.^� COMPANY f./��4� ,•�jv % �c'-:,-f' <br /> SIGNATURE REGISTERED Y J N FEE CURREA Y I N <br /> ps f <br /> Address -�3 /�1 , License# <br /> ! [ ! iI [ 1ll' ilillill ➢ Illlllllliilllllllli111111111111i1 ! [ 1• ➢ ➢ [ 1I ! ➢ 1l ! ! 1 <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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit•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.A O-W Permit for new construction. <br /> Minimum ten (10)working days after submittal date. Required onsite,Con"siruction`�Plans,5tormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2)sets of Engineered Plans. <br /> ""PROPERTY'SURVEY required for all NEW construction, <br /> Directions-III-L-➢--i-.i�f..l--1.-1-.1-:i."�i�.1_6-.b..[-i-,LE-1-d--i..i--4-i�F-@-B-B.-B..i_6-i-�S�F-.e�6�.i-➢..6�g�.a.:.�.a..I�{�5-.➢..LAB-.l1. <br /> Directions: <br /> Fill out application completely. <br /> Owner�Contractor sign back of rpplication,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power 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 - Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on publib roadways..rSeeds ROW - °' <br />