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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-002i <br /> r _ Building Department <br /> Date.Re <br /> ceived �3 ' �JOS <br /> P/hon�e`Contact-,for Irermlttin' <br /> Owner's Name Rasa Owner Phone Number <br /> Owner's Address ,SG� o l 7i � U' Owner-Phone Number '. <br /> Fee Simple TitieholderName° Owner Phone Plumber <br /> Fee Simple Tittehotiler Addres�s�. <br /> JOB ADDRESS 3( / 76/ Al LIDT# <br /> SUBDIVISION PARCEL'ID#''I/ 26— <br /> (OBTAINED FROM PROPERTY TAX NOTICE), <br /> WORK PROPOSED NEW CONSTR- : ADD/ALT SIGN ] " Q' `DEMOLISH <br /> —INSTALL , REPAIR' <br /> PROPOSED:USE Q: SFR [ COMM'- Q OTHER <br /> TYPE OF CONSTRUC110N_' BL-OCIZ '. ] _,, 'AAAM-yE�.- STEEL: <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE'' �. SQFOOTAG �c :HEIGHT:`. : . <br /> QIBUILDING $ -:��; :,f.. <br /> /�D` � • : VAt UATi;N` F TO`rAL'CblStAJUCTION <br /> =ELECTRICAL $ 'AMP SERVICE - �;] , PROGRESS ENERGY •CJ �-W.R.E.C. <br /> =PLUMBING <br /> MECHANICAL_ $ VALUATION OF.MECHANICAL,INSTALLATION ._ <br /> =GAS •ROOFING.: 0 SPECIALTY•'= . OTHER. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO <br /> BUILDER COMPANY .-- <br /> SIGNATURE GN��� REGISTERED N. FEE CURRER' <br /> Address License# <br /> ELECTRICIAN ., COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE C11RREn LILN ' <br /> Address Ucsnse:# <br /> 1 <br /> PLUMBER. COMP.ANY�. <br /> SIGNATURE ° AEGISTERED; .„= ..,_Y i,N ::-FEeCURRE11 <br /> Address License#, . <br /> MECHANICAL: ' COMPANY.' — <br /> SIGNATURE ,._. <br /> REtI37ERED;° Y::N .:::;-FEE_CtlRREN <br /> Address:;', . M ;License# ' <br /> OTHER - - COMPANY <br /> ; :.:., <br /> SIGNATURE.:. REGIS ED 4 Y/ N._.= ' EEE CuRBEn YIN <br /> ;,�., ` <br /> Address �; Iioense# 1 <br /> RESIDENTIAL' :s•'=Attach'"2''Plot`Plans^ aets�ofwBuildln �P,lans�`-:1;set'of�Ene?- �Form`s�'R=O-W�P®milffor new construction,:;;. , <br /> z;a Mtnlinurri:ten{}10};woriti tg darts alter sutiiiitttai date:= Required orisite,Gcns"#rucHoriaPlans,tStormwater'.Plans w/-S11f Fence,tn'sW ed, <br /> .:-_i`Sariltery Fecllitlas&�,1�auRiPsterSlterlNorkaPermit tgr sutidivlElOns/la!'ge'Projacfs' `,:;;��';`�'`;.'::'-;4:...;:.' ._ . <br /> COMMERCIAL Attach.(3j°c omoiste'sets of'BuUding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new canstructlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary;FadlWes;&_7-.dumpstar.,Site.Work,Permit for,ell,nevii,!p'roJects:"Ali:commercial.requlrements must-meet compliance <br /> SIGN.PERMIT Attach'(2)1bti ofEaglneered:F�lat <br /> ""PROPERTYSURVEYrequked raII:NEW.aonstnactlan.,..,..: <br /> _. <br /> Dlreatlons: - <br /> Fill out application completely. <br /> Owner tt Contractor sign back.of application,notarized <br /> !f'over$2500,wNctice.of.Commencement Is requlred..(A(C upgrades over-$7500) <br /> Agent(for the contractor)'Or'PaWer df�Attdth6y(for the.otiwner)would ba someone with notarized letter from owner authorizing same <br /> 'OVEMTHE'COUNTER.P..ERMITTING: ';"'' (Fronti;ofAppilcation;t nlYk.;: <br /> Ramofs If shingles Sewers Service Upgrades:kt :-" :Fenced{t'I8tlS iniey/Footagej _. <br /> Driveways-Not over Counter if on ptibtic rosdtiSa needs RC)VV`, <br />