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City of Zephyrhilis Permit Application Fax-813-780-0021 Building Department Date Received � "c. r3a Phone Contact for Permitting -- -7Ti"Ti-rT,T � p Owner's Name Owner Phone Number Ctl<7 9 4 fJ Owner's Address 1 �� 1 " ''� �'' Tc h.=jcic J� �� Owner Phone Number _ I Fee Simple Titieholder Name 4n-0-el. X Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT# l Z SUBDIVISION 5�! u e-r<-- PARCEL ID# �t�`/% t� - 6 (OBTAINED FROM PROPERTY TAX NOTICE) ' WORK PROPOSED �NEw CONSTR R ADD/ALT C� SIGN DEMOLISH INSTALL" • REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION , F�Q-` BLOCK FRAME STEEL [� DESCRIPTION OF WORK Y _ J� �" ' rv' -Fe BUILDING SIZE SO FOOTAGE HEIGHT ' mr =BUILDING $ ©� 1 Od�j VALUATiON OF TOTAL CONSTRUCTION ELECTRICAL $, _�l o0o AMP SERVICE PROGRESS ENERGY W.R.E.C. PLUMBING $ _-+i S-ly U =MECHANICAL $ oob VALUATION OF MECHANICAL INSTALLATION =GAS d ROOFING SPECIALTY L OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO 10Z .367 •-F-6-I-a-i-1--0-1-a•-1-a-II-1-a•-F-�-i .e-•I-•9.-a.a-a-0-1-1-G-t- -r-ir-1-:-1-1-t�- •r.-a-�I-1:•--1- -1-6-I1-I-6-:-1- -i 4-1-4-11�-1-1•-1-1-•tea-- BUILDER / -=�,� COMPANY • SIGNATURE REGISTERED Y/ N FEE CURREN Address j {"�ao� 1�ire,,�y �^ .I�ra� =- License# ' ,Ei ECTRICIAj ' �,s2rr,,f COMPANY SIGNATURE REGISTERED Y j N FEE CURREN Y/N Address 6��.?� + '0�� ° � .'? r� License# F,6.30, 0, 7 e? r PLUMBER" _ -- COMPANY l v° I�f�`" ,f,!` Ak,r'uoi .SIGNATURE tt REGISTERED Y/ N FEE CURREN �Y^�/N Address � 1�� t�P �c: ! .�� _ License# � ' 0 MECHANICAL COMPANY n Ya'TrrA SIGNAi URE "'REGISTERED Y�`/ N FEE CUME /N Address ` + � � x� ar tJ /e tht License# !`i(t� t OTHER ---- . COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y I N �! Address PV<, a r,, ,r ,rt� License# �` /�ip( i- � 1i1111111' Illllllllllll1l11l1111 ! llillllllllllii ! l11 / i1111ti / ( 11111.t RESIDENTIAL Attach (2)Plot Plans; (2)sets of Building Plans; (1)set of Energy Forms; R-O-W Permit for new construction, Minimum ten(10)working days after submittal date, Required onsite,Construction Plans,Stormwater Plans w/Siit,Fence installed, Sanitary Facilities&1 dumpster;Site Work*Permit for subdivisions/large projects 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. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. 't*"*PROPERTY'SURVEY required for all NEW construction. .i..i..,6�i-6-tti-6-3-4.1..i..i-1--M-1-1-1.�--1--0..1-.I!•-L-d-1-6-1..4.1.-C.-Ell--1-1-4-6.-B.1-1--8-�-1-6--1-@.-6-3.-1..4-1-)�-i-I.�'.-9--i�--$-1�4-i..S-0..1.. Directions: Fill out application completely. Owner�Contractor sign back of application,notarized if over$2500,a Notice of Commvricement is required. (A/C upgrades over$7500) ** Agent(for the contractor)or Power of Attorney(far the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs•if shingles - Sewers 'Service Upgrades A/C Fences(1.4q 1yey/Feot4ge)-, _- Driveways-Not over Counter if on public roadways-needs ROW {`