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City of Zephyrhiils Permit Application Fax-813-760-0021 <br /> Building Department <br /> Date Received Phone Contact for permittingyq <br /> -- <br /> Owner's Name t E^ rs t . Owner Phone Number -f! <br /> Owner's Address i _T �� `" 'ry' p'� ���'f "� -52.w- ner Phone Number <br /> Fee Simple Titleholder Name l!` G,�• Owner Phone Number --^ <br /> Fee Simple Titleholder Address <br /> q mlmrodlLOT# <br /> JOB ADDRESS <br /> SUBDIVISION �i r,'e-r<-- 'CA PARCEL.ID# 4 � r � � - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR R ADD/ALT SiGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �"' SFR CcMM OTHER <br /> TYPE OF CONSTRUCTION . �� BLOCK FRAME STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE -�� SO FOOTAGE � HEIGHT ' <br /> "T_ m�l�l"t"r"Y"s—'t�rT�l'-P'Ta"r'P'i�V��"s�8�a'T"I�a�1" <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $. / U0 AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ � r7 - <br /> =MECHANICAL $ 4� 2� VALUATION OF MECHANICAL INSTALLATION <br /> { V <br /> =GAS �! ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> -➢-•Q--➢-i-Q--➢--Q-Q-➢--i-➢-➢-•Q-Q--➢-6-C-➢,-C-�-➢-Q•-➢-➢-i�'aC-�--:-i-i-3--Q-➢-➢-➢-;r-:�-t�-'�Q-i-➢-i.-3-i-Q..EI���e+�-j;-➢-'�'-FAQ-"�-➢.-Q--F-P-�.. <br /> BUILDER ;,/ � COMPANY <i.�w $`�0 " y"C-' C <br /> 31GNATURE _> REGISTERED Y/ N - FEE CURRER <br /> Address '� ��lCe3.'�7 !" 1G-ra� License# - � ' I <br /> LECTRiCiA( r-,�' � COMPANY d1 <br /> 31GNATURE REGISTERED Y/ N . - FEE CURREN Y/N <br /> Address d° - �=�0°0 °" . License# CGS 0� 94? <br /> �,�^ <br /> 'LUMBER *" ._---- COMPANY f" l/� F�` .,•. dA'd h'> � ,o� P"�i''��% ,� } <br /> 31GNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> 17 Address. f License# L w{ iC' Q � I <br /> 61ECHADIICAL COMPANY <br /> 31GNATURE ~f, Q f �/' ——_REGISTERED Y// N FEE CURRER Y/N <br /> Address ✓�' - � �"� �a"atr?�<'tl � ` ' License# Nkc <br /> fo <br /> )THER COMPANY 61-Lrd <br /> 4iGNATURE <br /> � REGISTERED Y/ N FEE GURREl1 Y/N <br /> •• <br /> Address / License# �— <br /> il ! l11111' 1lilltl ➢ ? i ➢ ilil ➢ ➢ lii ! ltili ! lQiliit1l11liitilil ➢ iiliililill <br /> IESIDENTIAL Attach(2)Piot Plan,;; (2)sets of Building Plans; (1)set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten(10)v..corking days after submittal date: Required onsite,Construction Plans,Stormwater Plans w/Silt,Fence installed, <br /> Sanitary Facilities R, 1 dumpster;Site Work Permit for subdivisions large projects <br /> :OMMERCIAL Attach (2)completf Sets of Building Plans plus a Life Safety Page; (1)set of Energy Forms.R-O-W Permit for new-const(uetion. <br /> Minimum ten (10)1 )rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> ;IGN PERMIT' Attach (2)sets of Engineered Plans. <br /> "PROPERTY�SI.r,gVEY required for all NEW construction. <br /> 1--1-.1..i..b.t-6-J-➢.-➢-.{..l-a--1--Q-i-:A.y.--1.JS-4�8..i-.i-�f-Q�t-.{-3.•6�-L.i-I..Q-➢-6-Q.-i...6...1i•.d-i-8-1-i-E-d-.�.a..b�.1�.9-.m-.➢.-E.�,�6...t4..➢..Ba.Q-sA-Q-t.-Q.-6.d. <br /> Iirections: <br /> Fill out application completely. <br /> Owner�Contractor sign back of. aplication,notarized <br /> if over$2500,a Notice of Comn�vncemeht is required. (A/C upgrades over$7500) <br /> Agent(for the-contractor)or Pow,,= of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> ,VER THE COUNTER PERMITTING (copy of contract required) - <br /> eroofs if shingles • Sewers =Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />