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City of Zephyrhilts Permit Application Fax=813-7e0-0021 Building Department Date Received i phone Contact for Permitting 6; e'`c �d Owner's Name 00 ^ rs r-. E= Owner Phone Number st7'i1• t Owner's Address (a{'�a+�'�J e � ' ' " rr T ^E � �520wner Phone Number Fee Simple Titleholder.Name ,r'� +� Owner Phone Number f ^�� Fee Simple Titleholder Address ) l JOB ADDRESS LOT# D t SUBDIVISION �i '��' �� PARCEL ID# 06" 0 (OBTAINED FROM PROPERTY TAX NOTICE) - WORK PROPOSED e' NEW CONSTR 8 ADD/ALT SIGN 0 DEMOLISH -INSTALL, • REPAIR PROPOSED USE 0'f SFR COMM OTHER TYPE OF CONSTRUCTION • ��'� BLOCK 0 FRAME t STEEL DESCRIPTION OF WORK �r1�L^� J i', ( • ' rn 7 j) 'S etc=�'�,'° '� �'c�Z2 :<� -tc^�k BUiLDING SiZE SQ FOOTAGE �-( HEIGHT "r'r•re-f-nr"r�r-r-rr-r-r-r -�-rr-r-rrr-r e-r�r"s'r-rc'z" ['�'ra s-ri--r"r->< >r^'s-r•r-rs-i'-c-s-a s-r'i-�-¢-rrr-i-:'Ta-<-• BUILDING $ ('\-)/ VALUATION OF TOTAL CONSTRUCTION 0 ELECTRICAL $• t q ,�� AMP SERVICE PROGRESS ENERGY Q . W.R.E.C. =PLUMBING $ J� �-{ LO MECHANICAL $ So VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING F1 SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS �5-; tS FLOOD ZONE AREA DYES NO -4-¢-F-G-i•- - -i-•i-1-6-¢-i-C-1-4--G-i -i-,1-F-Vt-1-€-C-f�F-C-t�-E-:-:�I--i�-:-�t�-:-C-C-C-:-i-8-- -E- -•�i�-:-D- -;�i�: E��9-1M-,4-i-1-I•- BUILDER' _,�`� COMPANY • h - @'�C? SIGNATURE �� REGISTERED Y/ N FEE CURREN Y i N Address rrl �� r '�e5. 7 !" 1c-iJ� License# {=LECTRiCiAN {j r <„- ,/ - COMPANY G°,'22 04'9, f 'T !"? l SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address 6i '-.� :'� 10 °��' ,� ,�1 License PLUMBER � COMPANY (/ sf7d?ef` _r•,°A ldi�d�' � d�,F7 .SIGNATURE /� r� REGISTERED Y/ N FEE CURREN^ Y/N g } Address � 1. f t c`t ' Tr/r"rl �e �"+i ! License# L MECHANICAL COMPANY 1', �;I SIGNATURE f T^- -- ---REGISTERED YKI N FEE CURREN Y/N Address C eQ, "� � �.r �`r* f+� a atF"<t/ 1`e rTVej f License# I CliC 0,?;5(015 OTHER COMPANY ff��r_,_d4 �.�m4f� ' 240) . SIGNATURE ,,t REGISTERED Y/ N FEE CURREN Y i N Address j�i � License# iiIll / ill' liIIIIIi - IIii11i11iiiI111i111111I11111111 .11111. 0111i1111 ! ! ! RESIDENTIAL Attach(2) Plot Plan::; (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)%7orking 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)% Irking days after submittal,date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities r..1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SiGN PERMIT Attach (2)sets of Engineered Plans. ""PROPERTY'SI.!,RVEY required for all NEW construction. ..I...6-G-,i-I�..I-�-1.,.6.a-I...1..1.�#-14-i-:,I...!c-.{.-'�"-4-'I_•I_•I--1'-•I'-i--6-'1...6..�.x-B-1.--i�7S.-8-.i...6..1_.t��l.-d.-y.-'�. .,..6..8�.1-.1-.,l_8_b..L.,8..6�-0-&.�-li.�".-L,-a�B-» Directions: Fill out application completely. Owner,�Contractor sign back of Oplication,notarized If over$2500,a Notice of Comn-,uncemeht is required. (A/C upgrades over$7500) ** Agent(for tiie�contractor)or Powla of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) ° Reroofs•if shingles Sewers .)ervice Upgrades A/C Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW