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City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received a 141 a019 I- Phone Contact for Permitting--_R <br /> Or <br /> ----- ------------ <br /> Owner's Name d:7t i i it= Owner Phone Number <br /> Owner's Address <br /> Owner Phone Number <br /> 5C)L) <br /> Fee Simple Titleholder Name. Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Imden iADUM LOT <br /> SUBDIVISION Int en PARCEL IEW105-(W -i2l D t 00 - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q`hn BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK , +ipn mmcal <br /> BUILDING SIZE L_ I SO FOOTAGE=_ HEIGHT]. <br /> 6�W W 1114 1-11 W44444444444- 94444� 14 L14-16 <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> E PLUMBING <br /> 1$1qCD-'00 I. <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 1111 2+i4+H-H44+H++ I I I I I I I ------ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED LIL_H_j F96 CURREN <br /> Address LIcanse# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED L_XL N J FEE cma, <br /> Address License#. <br /> PLUMBER COMPANY 1J1e_V1CJ1eVt <br /> SIGNATURE REGISTERED Y/ N- FEE CURREN I YJfN <br /> Address Ieocm I'FCA - I cense#'I Lft 011 M 3 4 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address License# <br /> OTHER COMIPANY­ <br /> SIGNATURF REGISTERED Y/ N_ FEE CURREN LILN J <br /> Address License*1 <br /> ................ <br /> RESIDENTIAL- Attach(2)Plot Plans;(2)sidts of Buildihg-PI a'ns;(i)set of Energy�Forms;-R-P-W-Permit for new construction, <br /> Minimum ten(10)wqrkIng,,days after submittaldate.:Required onsite,Construction Plans-,-Stormwater'Plans wl Slit Fence Intialled, <br /> Sanitary Facilities 9, Site Work�:Permlt for subdivisionsfiarge-projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans Olus-a Life Safety Pa.ge;(1)set of En a-rgy 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 all new projects.All commercial requirements.must meet compliance <br /> SIGN PERMIT Attach-(2)Sets of Engineered Plans. <br /> "—PROPERTY SURVEY rectutred for all NEW construction. <br /> go <br /> Directions, <br /> FIR 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 Attomdy(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING ..(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter Won public roadways..nee&ROW <br />