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813-780-0020 City of Zephyrhilis Permit Application Fax-e13-78o-ooz1 <br /> Building Department <br /> Date Received _jr Phone Contact for Permitting <br /> Owner's Name J3 Q 8 a f fi J jM GL.1=O!� Owner Phone Number 813- 2.7^ G 21 <br /> Owner's Address 3aj�g C rn Avg Owner Phone Number <br /> ZjoA y A;I& Owner Phone Number C <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# (("-2G-'2 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT t� SIGN Q = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK C]/, FRAME, 0 STEEL = <br /> DESCRIPTION OF WORK 7! !t�%:F�" :'/1�►<t .��N��^/-iRtaw`+�+ IGr:w.a�(s t• <br /> BUILDING SIZE, 9 I,SQ,FOOTAGE HEIGHT• C= <br /> 444+ <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ®ELECTRICAL, $ AMP SERVICE = DUKE ENERGY Q, W.R.E.C. i f <br /> ®PLUMBING $ <br /> 2 <br /> I <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ///A <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES <br /> 1 ' <br /> (+I�FrS r y S a?ts5 BUILDER j e t A.17COMPANY '' .��Ljt� „�_fir.•.."J'�C <br /> SIGNATURE 'REGISTERED:!:".c' `• N/"N i ,FEE CURREN- Y/N- <br /> Address (2GK. Arv>r kAJol{ _ �a��.Gr+'z ;33523 License# <br /> ELECTRICIAN COMPANY. '00?S4t,C> 570%C4#-A' <br /> SIGNATURE �T REGISTERED Y FEE CURRER LXIN <br /> Address C,r! � License# /3 v&.3 v.�;f <br /> PLUMBER COMPANY GL S AlN SxCvtrx <br /> SIGNATURE /�C/�.- REGISTERED Y/ FEE CURREt I Y/N <br /> Address 7a G i9'4''"ot `:?k rat,t»t. 33s License#I el-eo ZS".r,8G <br /> MECHANICAL L'0 f� W�f COMPANY <br /> SIGNATURE r REGISTERED I Y/,,,N- FEE CURRMn LXLN <br /> Address License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED I Y/ N FEE CURREf .,Y./N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;{2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stomrwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge 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)working days after submittal date. Required onsite,Construction Plans,"Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for'eil 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: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> if over$2500,a Notice of Commencement Is required. (AIC 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 /> +' <br /> Rewofs ifsNngles,...:-TSewers__ti.t!�Service Upgrades A/C Fences(PloUSurvey/Footage) <br /> to <br /> s_DriyQways_Not.over Counter,N 6hi bbl(c roadways..needs ROW <br /> �..-...:.:tea...«.:...•�.,...::;.;,:.-....,,,�:.�>�.,i na <br />