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bi3-780-0020� City of ZephyrhillS Permit Application Fax-813 78040021 <br /> Building Department 4 <br /> Date Received <br /> Phone Contact for Permitting - <br /> Owner's Name Owner Phone Number <br /> Owner's Address p Tcf -),ioc ' <br /> > 5Owner Phone Number, <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS' LOT011 <br /> SUBDIVISION �� L:3It=-1'<-- Ca PARCELiD# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED =fNEW CONSTR 8 ADDIALT SIGN 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE F-9- SFR COMM OTHER <br /> TYPE OF CONSTRUCTION • �/� BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK �l�t �'i• plC �tvi 7 ��E'5_'DcJe-,,: I-- fl`oge,:j <br /> BUILDING SIZE SQ FOOTAGE . il$S HEIGHT=BUILDING $ i VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $. -_Q t AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ `� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING 0 SPECIALTY u OTHER <br /> FINISHED FLOOR ELEVATIONS D 5 FLOOD ZONE AREA =YES NO <br /> • ty <br /> -�Q--Q--Pr$-$-Q-�-B--Q--�--Q-➢-�--➢--�*-G-➢--Q-Q-d-Q-Q-➢--�--Q--Qom"-�-5-k"-v-➢mc--� G�'�>- @-��➢�°w�9�=-n®Q���@�°v®i°�°�-i�Q•�`-fl-� <br /> BUILDER y / �„ �_ ,�/ � COMPANY a c�. '�_�� ",� �I' <br /> SIGNATURE C...'_' ' REGISTERED Y/ N- - FEE CURRER Y/N <br /> Address � ��� 1 /� C+�.rY j �" Ir�� - License# C>��� Q fv <br /> .ELECTRICIA(V --+ COMPANY 4G'���1?� /r�F C / 'i <br /> SIGNATURE f REGISTERED Y/ N FEE CURREN Y/N <br /> Address 6rd `r�JQ�=tf�f�d t� r`� .�? License <br /> ,PLUMBER f,'^ — COMPANY <br /> .SIGNATURE REGISTERED Y/ N FEE CURRER Y/N <br /> Address. �� � j. ,r� �at c�a `- License# �T G1(' <br /> MECHANICAL COMPANY p"" /Ai(�!'�L�`%. �Llr(f% / nrf �e ^r �� <br /> SIGNATURE REGISTERED I W/ N FEE CURREN Y/N <br /> . f C7 <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE . / REGISTERED Y/ N FEE CURRER Y/N <br /> Address 5 J :�!` y I��r ,.i� � License# <br /> ➢ Q ➢ 'fiQ ➢ ➢ iQiQi ➢ Qii � i ➢ ➢ ➢ iliiiiQiQQiQQ ➢ QQQQQQQiQiflQQQQQQQQ ➢ BQQQQQ@Q ➢ QQ <br /> RESIDENTIAL Attach(2)Plot Pianz; (2)sets of Building Plans; (1)set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10)urorking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt.Fence installed, <br /> Sanitary Facilities£•.; 1 dumpster;Site Work'Permit for subdivisions/large projects <br /> COMMERCIAL Attach (2)complete gets 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/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 E'igineered Plans. <br /> *""PROPERTY-SI t,aVEY required for all NEW construction. <br /> Directions:¢-.3�5-.Q-.9-.i-B-B-A-.Q-B:P.. 6-.11dfl-.B--Q-.Q.-b-.�E--�-�•t�-6-L-Yo--B.G.➢..&-Q-�-"--Q--B�➢ •Q�"�.6 L�G�BmI ®Q�4��g ib��B�+ . <br /> directions: <br /> Fill out application completely.' <br /> Owner$ Contractor sign back of i)plication,notarized <br /> If over$25oo,a Notice of Comn:Vneement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Powrsr of Attorney(for the owner)would be someone with notarized letter from owner aUfhorizing same. <br /> )VER THE COUNTER PERMITTING (copy of contract required) ' <br /> ieroofs if shingles Sewers :;ervice Upgrades A/C Fences(Plot/Survey/Footage) ` <br /> Driveways-Not over Cour)ter if on public roadways..needs ROW <br />