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ai3-7$0-0020 City of Zephyrhllls Permit Application Fax-813-M-002i <br /> Building Department <br /> Date Received Phone.Contact'for Permtttln ` <br /> Owners Name t_ l T tr S Owner Phone NumberItM= �,a bG-G. <br /> Owner's Address : 3 2 3 35 2- 31 Owner•Phone Number <br /> Fee Simple Titleholder Name 1 owner Phone Number { _ <br /> .7 <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS C, ZA 4 LOT# <br /> SUBDIVISION PARCEL.ID# a a» otxar�- �!D O:: is o O <br /> (OBTAINED FROM PROPERTYTAX NOTICEI: <br /> WORK PROPOSED NEW CONSTR ' ADD/AI:T" SIGN~ ' .[� " ` DEMOUSH <br /> `.INSTALL REPAIR . . <br /> PROPOSED-.USE. Q SFR [ COMM OTHER <br /> TYPE OF CONSTRUCTION''; � :-BLOCK �' �, .:FRAME C.� STEEL INC <br /> p;• ' <br /> DESCRIPTION OF WORK .4 'S� d' !?'7 DV (.� G a}• `SW rrh <br /> BUILDING SIZE SQ.FOOTAGE HEIGHT_ : . ..- <br /> �� �JrI. 1ALUATION Z1F Td'TAL CONS`i RUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C, <br /> =PLUMBING r$ <br /> =MECHANICAL ($ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS [� ROOFING SPECIALTY " • OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO - <br /> COMPANY `-- Vi.i'd� <br /> SIGNATURE e // REGI9TERED Y t N FEE CURREt+ <br /> Address S `,A), Dr,D.C. License# 101 Q-ol- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE a_ REGISTERED I Y/ N FEE CURR�EI1 Y!N <br /> Address d:lcense# l <br /> PLUMBER COMPANY <br /> SIGNATURE ...-REGISTERED. . Y/,N FEE CURREN Y/N. <br /> Address .License ,F, <br /> MECHANICAL COMPANY <br /> SIGNATURE : " .• REGISTERED I_ N. . FEE CURREn <br /> Address -; Lloense# �- <br /> OTHER COMPANY.., . <br /> SIGNATURE' REGISTERED Y/ N .,FEE GURRE� Y•%N::.' -. <br /> Address `License' <br /> RESIDENTIAL•::'iAttacti 2:..ft,[fl ns 2 ets:df ui'tding:P ns {'i j sef of.Energy'Eaiiris:iZ-0 V1l;Pstm- I ct navir; I*.* tTcn. <br /> Minimum,ten(1D),vvotltln'g,days<+ iter_•84 IN rlate:-:Requfred aiie(te Gonsfru'ction Plans;-Stomiwatei Plans w/:Siit:Fence tnstalled, <br /> &anti&ryFadl4ttes&=1dutirpsterSite*Work:.bumit.forsulidtvlstotssltargepr+�ects`<>. :: <br /> COMMERCIAL Attach(3)complete s®ts°of BiiHiNng Plans pies a t:ife Safety Page;(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/Slit Fence Installed, <br /> Sanitary Facilities&T dumpster,Site Work,Permit far ail,:new=projects.All commercial.requirements-must most compliance <br /> SIGN PERMIT Attach(2)s®tsof'Engineereif Plans:;;:-::::: <br /> ""PROPERTY SURVEY NEW constmedon..'. y <br /> Directions: 7_; <br /> FIII out application completely. <br /> Owner&.Contractor sign back of application.notarized <br /> If over*MD.a Notice of Commencement Is required. (AfC upgrades over$7500) <br /> '• Agent(for the contralotor.)or:PdW&of Attorney(for the owner)would be someone with notarized letter from owner authorizing some <br /> 'DVER THE GOUNTER.PERMIT xe_- .-(Front of-Application Only) <br /> Reroofs if shingles Sewers- Service Upgrades A/C . Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />