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813480-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department- <br /> Date Received Phone Contact for Permitting <br /> -F-F-"-a 8 a J1111 I I I <br /> owners X'TOwner Phone Number <br /> owners C5�1 Z-:�' A-yb 0.Fine.Number <br /> Fee Simple-Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS e_0 LOT# <br /> SUBDIVISION PARCEL 109 bs--.Z(6-72 1 - 00-3 63,Eli <br /> (OBTAUMD FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED tawaWMM ADDIALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION �BLOCK = FRAME STEEL <br /> DESCRIFr'OUAF WORK &LJIW 3 777-7 11 577&4(1 3 22 L <br /> BUILDINIG SIZE SQ FOOTAGE 914y HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =FLUMBING is <br /> IV M4 <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS r7 ROOFING M SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS, 17 FLOOD ZONE AREA =YES NO <br /> BUILDER l COMPANY <br /> SIGNATURE REGISTERED <br /> Address License# <br /> ELECTRICIANCOMPANY c1e,!55 oleo' <br /> SIGNATURE REGISTERED I Y/N FEE CURREI, I YIN <br /> Address 3;7aTLc�E cL License#EF,-Z 0-6 0 2T?ti <br /> PLUMBER COMPANY u-2,No-W%, 1AC,- I <br /> SIGNATURE -- 7--j t ; <br /> REGISTERED FEE C URREK _ N <br /> Address F0� 1 +nSq%qS Lcense# C.iC1Gl�atCOMPANY 1,941he,MECHANICAL <br /> SIGNATURE REGISTERED I Y/ N FEE CURRFh I YIN I <br /> Address rfq*/ License#I aw ow;a-?*r)-I I <br /> OTHER COMPANY = - <br /> SIGNATURE REGISTERED I Y/ N FEE CURRM I Y/N I <br /> Address Ucense#'l <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans,(1)set of Energy Forms;R-O-W Permit for row construction, <br /> Minimum tan(10)waddrig days after submittal date. Required onsite,Construction Ptaris,Staninvater Plans w/Sift Fence installed, <br /> San"Facilities&1 dumpster,Site Work Permit for subdivisions/large pmWAs <br /> COMMERCIAL Attach(2)compfeta sets of Building Plans plus a Ufa Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)warldni;days after submittal date- Required onske.Construction Plans,Stormwater Plans w/Sift 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 /> t;t4t;a7n s&• <br /> 11 ,11saffus . . . . . . . . . . . * " * . . . . . . . . * -- - -- - - - - - - - <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$250,a Notice,of Commencement is required. (AfC upgrades over$7500) <br /> Agent(for ft contractor)or P—Of Aft—Y(for the owner)Would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs tf shingles Sewers Service Upgrades A/C Fences(Plot/Surveyffirialage) <br /> Driveways-Not over Counter if on public roadways..meds ROW <br />