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City of Zephyrhilis Permit Application Fax-813-760-0021 <br /> Building Department <br /> Date Received '��'G;�',�'��"`�^o'a�a fl'r=Vie• ��i^�"�G»� ��'�' � <br /> Phone Contact for Permitting -- <br /> (3 <br /> 77owner Owner's Name c rs r. E= Phone Number f1 <br /> Owner's Address p T� }� '520wner Phone Number �- <br /> Fee Simple Titteholder.Name ,ti �. Owner Phone Number — <br /> Fee Simple Titleholder Address <br /> ' <br /> JOB ADDRESS 4"( Z C OA LOT# <br /> SUBDIVISION F E L.:>tf_r<-- 4A C' PARCEL iD# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED e'f_NEW CONs7R ADD/ALT SIGN � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE F79— SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION , �� BLOCK 0 FRAME STEEL 0 <br /> DESCRIPTION OF WORK �it� �/xy 1C ram►7 } 'ems}ems, <br /> BUILDING SIZE SQ FOOTAGE � I t r HEIGHT C —� <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $. AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> boo� ; <br /> OPLUMBiNG` $ � <br /> =MECHANICAL $�S ���� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS 22y Z� FLOOD ZONE AREA DYES NO <br /> •-�•-E-➢-•B-�A-•i-�•-➢-1>•-i•-i--1-d-C-•hC-k-C-�-�-8--i-1--A-i-•6-6-G-F-f--Pni-C-:-'�-1-:-:�4-i,i-I-�-1-1•.-4-�-5�•-i•I-9�-a-:-4•-3•-1�4-a-�--°�-x-'�-G-'�•-4-f�-;i- <br /> BUILDER' ��� COMPANY D, K <br /> SIGNATURE REGISTERED Y j N FEE CURREN Y/N <br /> Address 1 )��a�Ce .� �" A�7/" � License# <br /> E= (V , � COMPANY LECTRICIA <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 60-5?4/5'k'P''0,0'4-led ;-v ,,-',.4571-1 License# <br /> _ o <br /> PLUMBER 4 ^'" "�� ` ----- COMPANY i'"" tea'"l},faA� 1}•}" F`} � �� r;��,+,1 ' <br /> .SIGNATURE �} " �,, / REGISTERED Y/ N FEE CURREN Y/N <br /> Address f��rA�l(I��;�, r �� ��° a, c. License# <br /> MECHANICAL a� ,s. COMPANY }j`A�{ /` i,�`�'oe 4° <br /> SIGNATURE f a ' "--"- -REGISTERED Y/ N FEE CURREK Y/N <br /> Address �* � /��> .r ,•t�ca �^GrCt��t'f� �}• License <br /> OTHER �' -�---­2 COMPANY iJ �%_dl <br /> SIGNATURE REGISTERED Y/ N FEE CURRE<\ Y/N <br /> Address c ��^� / „ A License# �— <br /> i11111111111IIii1 � 11111I IIIIIIIIIIIilliiltittllllidlllllllt111111i1 <br /> RESIDENTIAL Attach(2) Plot Plary; (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit.Fence installed, <br /> Sanitary Facilities It,1 dumpster;Site Work'Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete 3efs of Building Plans plus a Life Safety Page; (1)set of Energy Forms. R-O-W Permit for new-construction. <br /> Minimum ten(10) irking days after submittal date. Required onsite;Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities,:..1 dumpster.Site Work Permit for ail new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of E,igineered Plans. <br /> "PROPERTY�SI.!,aVEY required for all NEW construction. <br /> .�..ire-d-i...i-,9-6-i.-t..�..i..e-.t�.7.-t�d..;.-a-dl�w.�S-i...1..6�0�R-1-1-6-i..6..4.•1,-8-b-4-.6.-!~.-4-a-.b-t 1-.b�5.-9.�..�.1�•.�-3..6�s-0..�-�.�.l�l�it--fr-6-lg-i- <br /> 6irections: <br /> Fill out application completely. <br /> Owner$�Contractor sign back of Oplication,notarized <br /> If over$2500,a Notice of Communcemerit is required. (A/C upgrades over$7500) <br /> Agent(for the-contractor)or Powur of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> THE COUNTER PERMITTING (copy of contract required)\,,ER <br /> oofs•ifshingles • Sewers :,ervice Upgrades A/C Fences(Plot/Survey/Footage) ; <br /> Driveways-Not over Counter if on public roadways..heeds ROW <br />