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City Of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receiv 1�ab qcq <br /> 1_aQ ) <br /> [q Phone Contact Parmittlih <br /> ............ .... <br /> Owner's Name Owner Phone Number <br /> p�hh <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS r Ladalt 'Palm Waq LOT <br /> SUBDIVISION V CVQ EL ID#PARCEL mlZS CDC-00- (AOD <br /> (OBTAINED FROM PROPERTY-TAXNOTICE) <br /> WORK PROPOSED NSTRR- ADDIALT SIGN- DEMOLISH <br /> INSTALL REPAIR <br /> 3 NEW <br /> co <br /> PROPOSEMUSE Q SFR COMM - OTHER <br /> TYPE OF CONSTRUCTION 0 -BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE WIFOOTAGE HEIGHT <br /> &14444" 4AJ. 84211m <br /> 1---IBUILDING $ <br /> VALUATION"OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> PLUMBING <br /> DD <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES. NO <br /> ........... <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN- I -_Y/N <br /> Address License# <br /> PLUMBER COMPANY" <br /> SIGNATURE REGISTERED Y/,.N• FEEcuRREN.. V WN <br /> Address ?)d License.# I utb-ma3o <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YJ N FEE CURREN Ly_/N_i <br /> Address License J7 <br /> OTHER COMPANY <br /> . ':LUN-j <br /> SIGNATURE REGISTERED Y N_ FEE CURREN <br /> Address License# <br /> -rrrrrwTTri HIH! 11;HHH"m Hill%!* it!!! HHHHH8HH1H+ <br /> RESIDENTIAL Attach(2)Plot-Plansf(2)Sets Of 6ulldIhd,-FI-a'ns,'+(1)6i 49nero' ',Forms;i R4 -W Permit for new construction, <br /> Reulf I - rm <br /> Minimum.te"1.19)Wq*lng,days aftersubrhittil'claW.. q Required ohift,Construction P ans.,Stowater Plans w/Silt Fence installed, <br /> Sanitary Fiin!Ues:&,IduMp4ter,-+$11#-Work:Permit for subdi0sip'nsAarpopM <br /> COMMERCIAL Attach(3)complete-sets of Btfildlhi;i Plans plus a Life Safety Page;(1)set of Energy Forms R-O-W Permit for now construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all now projects.All commercial requirements-must meet compliance <br /> SIGN PERMIT Attach(2)'Sets of Engineinid-Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> 1111411 pill R11111111 .1 <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2300,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)'or Power of Attorney(fat the owner)would be someone with notarized letter from owner authorizing same <br /> DYER THE COUNTER PERMIT IING ..(Front of Application Only) <br /> Rercofs If shingles Sewers Service Upgrades A/C Fences(Plot(Survey/Footage) <br /> Driveways-Not over Counter if on public roodways..ne-ads ROW <br />