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813a80-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received phone Cortlad for Pa nifty 2 <br /> II III III �' /J C I � � � q1 <br /> Owner's Name K.a si�Cr J Owner Phone Number 9 V <br /> ai <br /> Owner's Address �01i ♦TJ i!w r� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address JOB ADDRESS G.syImo.,v <br /> L S 04- -2 y.Rh V Q Atr LOT# <br /> SUBDIVISION I PARCEL ID# ill-Z - 1 • OZ?D +D •0/YV <br /> (06TAR ID FROM PROPEtTYTAX NOTICE) <br /> WORK PROPOSED B NEW wTm a ADD/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME 0 STEEL = <br /> DESCRIPTION OF WORK r C W W S <br /> BUILDING SIZE S4 FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ • AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ �tiv <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> a C� <br /> =GAS = ROOFING 0 SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS !ROOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED YIN I FEECURREn I YIN <br /> Address License <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURREh I YIN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREn Y I N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEECURREn YIN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN I FEE CURREn I Y/N I <br /> Address License# <br /> 1111it Rill <br /> IIIlIl111I11 ) 1111111111lIt1111111t1I1111t1111111111I11111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Sit Fence installed, <br /> Sanitary Facilities&1 dumpsteh Site Work Permit for subdivisions/large projects <br /> 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. <br /> Minimum ten(10)working days after submittal date.Required onsle,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Al commercial requirements must meet Compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> Dlrectlons; <br /> Fill out application completely. <br /> Owner&Contractor sign back of appiicalon,notarized <br /> If over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroo(s tl shingles Sewers Service Upgrades A/C Fences(Plot/Survey%Footage) <br /> Drivaways-Not over Counter if on public readvrays.-needs ROW <br />