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8134804002D City of Zephyrhilis Permit Application FaX-813-780-0021 <br /> Building Department <br /> Date Received PhD-$' 79',2 <br /> T�V% — . <br /> Owner's Nam 0A10- a-14ew Dar 11 Pftom <br /> re- 15 1 a Owner Phone Numb,er, Ulv—51,- <br /> Owner".Add. 40'.V- &4r~r R" Owner Rome Number <br /> Fee Simple Titleholder N.. F &mw Phone Number <br /> -Fee Simple rillehotclerAddress <br /> JOB ADDRESS r-e- <br /> ROO <br /> SUBDIVISION A�Ok8 A)4010�? I PARCEL UXIII 10 96 10,0,0 44,01OX 40 <br /> a n�ADD/ALT <br /> toirmM afi FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED N CON55 SIGN DEMOLISH <br /> REW INSTALLREPAIR <br /> PROPOSED USE Q SFR = COMM Q OTHER <br /> rfpE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK fflC ej 17M ZI L,9 A I r:5, 071 15 r4A <br /> BUILDING SIZE I SO FOOTAGE HEIGHT <br /> MBUILDING. . . . . .1$. . .. . . VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING <br /> Ee!(MECHANICAL 1-6354o, VALUATION OF MECHANICAL INSTALLATION <br /> =GAS r7 ROOFING M SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREI, <br /> Address License# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE F REGISTERED I YIN FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN LY/N <br /> Add. License# <br /> > <br /> MECHANICAL COMPANY A6097YR!W1WR/Ve69 <br /> SIGNATURE REGISTERED I Y/ N FFECURREII L_ILN_j <br /> Address ZAV11,5,AL LIoense# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License#I <br /> Illlltlllllllllllllllllllllltlllllllllllllllllllllllllltlllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bulkift Plans,(1)Set of Energy Forms;R-O-W Permit for now construction. <br /> Minimum ten(10)woftq days after submittal data. Required onsite,Construction Plans,Stornirwater Plans w/Sift Fence installed, <br /> Sanitary FaciflUes,&I dumpster,Sits Work Pairnit.for subdwlsionsftrga projects <br /> COMMERCIAL Attach(2)complete sets of BWftg Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Perrinit for new construction. <br /> Minimum ten(10)working days after wbmftW date- Required onsda.Construction Plans,Stonrwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&I dtunpster.Site Work Permit for all new prc)eds.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> .If over WM0,a Notice ofContmencenlentis required. (AIC upgrades over*75W) <br /> Agent(for the contractor)or Power of Attorney(for the owner)%vuld be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMffMNG (Copyof,contraCtrequired) <br /> Reroaft if shingles Sewers - Service Upgrades AIG Fences(Plat/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways-needs ROW <br />