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City of Zephyrhiiis Permit Application Fax-813-780-0021 Building Department Date-Received < 'd"7t�` �"i` ?' a r�r `: ?.Cozy' Phone Contact for!'ermitting L Owner's Name k7. ' c ;^ cs j-. C Owner Phone Number i� I . � fJ Owner's Address `e �`� '''" �''� �c n�f9� � j�� Owner Phone Number Fee Simple Titieholder.Name Owner Phone Number �— Fee Simple Titleholder Address (,{ JOB ADDRESS �,9 3bd 002- LOT# SUBDIVISION U� t.?•e-f-C-- e—A c PARCEL ID# t/ f � �' 60 6 o -o ga (OBTAINED FROM PROPERTY TAX NOTICE) ' WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH INSTALL_ • REPAIR PROPOSED USE �'' SFR CoMM OTHER TYPE OF CONSTRUCTION . � BLOCK r^:� FRAME STEEL [�]DESCRIPTION OF WORK JGtY`11G"per ery�7 'S s�C� .'� � Jc"� Z 3✓� �—> ^�r54 <w BUILDING SIZE SQ FOOTAGE Z �e2 HEIGHT ' 'a"rr-c-z-r'�-rr-s-e-'r-r-x-rzrr--e-z"e'rti"t-w"�-r"r's--rrrra"�^r'-r`v-mrr-rre"a'-�-m-r'r-�-e"r-rmrir-e->t-r-eTP'�a-' BUILDING Is ( I` VALUATION OF TOTAL CONSTRUCTION DELECTRiCAL rr$. _c O� b AMP SERVICE PROGRESS ENERGY [� W.R.E.C. =PLUMBiNG $ MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �7 =GAS ROOFING 0 SPECIALTY OTHER FINISHED FLOOR ELEVATIONS I t �� ri FLOOD ZONE AREA =YES NO •-i-:-C-i-#-Hi-i- -i-�-�C-G-i-C--F-at �-i-�- VF-C-F-F-F-:-F-F-i-4-;-I-I-:-:�6 -i-Fw-I-I-i-Q-i 19 CIF=*I-D-, BUILDER / -> COMPANY ' - B-� �`A,� , SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address /rn� 1�f��e ,my ,��^ I�i�� License# �-� i ECTRICIA(J COMPANY �+��•�� ,L��°�P` SIGNATURE r�f REGISTERED Y/ N FEE CURREN Y/N Address 6°+!'- %> � Or O Aw .� ,rt� License# PLUMBER --,.- — COMPANY P �+ xfa,fi. .. � b'e�`� !�✓� k ��, ;�a�,;► SIGNATURE REGISTERED YIN FEE CURREN Y/N Address . m�� /,�a �. ,i��C License# MECHANICAL ? n COMPANY SIGNATURE f �` --REGISTERED Y''/ N FEE CURREN Y/N Address � � �� yr' Ale0.-,A'.V��' �a .,r 6 �' License# '�.-•��0,?��!,'�� • OTHER COMPANY � � � ��i�.vf1lJ% ` fi SIGNATURE ' REGISTERED Y J N FEE CURREN Y/N Address � t}- f yti F '. 7 � I License# iiiitilil' iilIi111 :tIG1Illlllil111itlllEiil1II111 ! { 1lft1D•iiAlliBltiit 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)v:xirking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sllt•Fence installed, Sanitary Facilities& 1 dumpster;Site Work'Permit for subdivisions/large projects COMMERCIAL Attach(2)completE- >ets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new-construction. Minimum ten(10)x xking 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. *'**PROPERTY'SL'.gVEY required for ail NEW construction. *•�-.i-E-i-.i�,i-il•-B-II.�-.L..i--s-i-I-i-�8..'.--I•�-F..d..l-.i.E-i-F--1--E-6-�..8-1-b-ii-6.-0.�r•.1--0--E-.i-.hl-1-�--0--i-.6..5-6-�-1-.i�.�8- 4�b-.IUD--la-b-i.-3- Directions: Fill out application completely, Owner�Contractor sign back of Oplication,notarized If over$2500,a Notice of Comn:vricement is required. (A/C upgrades over$7500) ** Agent(for the contractor)or Powiw 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 shingies Sewers - !Service Upgrades A/C Fences(Plot/Survey/Footage) g; t Driveways-Not over Counter if on public roadways..riBeds ROW 5