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8*13-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received LPh ct for Permitting 1( ?/-1) -79'P-- 5_043 <br /> == 1.1-.Z1C1-1=-t- <br /> Owner's Name Ing7 owner Phone Nu <br /> mber <br /> Owner's Address <br /> Owner Phone Number <br /> Fee Simple Titleholder Name I owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Fb---7�79_ zww LOT# <br /> SUBDIVISION PARCEL IDJAaAcl IP/ X0 4,240 "41 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> P INSTALL KREPAIR <br /> PROPOSED USE = SFR = COMM L OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME U STEEL <br /> DESCRIPT.ON OF WORK I Xbs- Ale- 6wmL/ -zV&ZOAii,, c-2 &x�nn�v <br /> BUILDING SIZE I I SQ FOOTAGE[:= HEIGHT [_= <br /> ... . . . . . . . . . . . I . . . . . . . .. . . . . . . . . . . . . <br /> =BUILDING Is VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL I S AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =FLUMBING is <br /> M_W.ECHANICAL IS VALUATION OF MECHANICAL INSTALLATION <br /> =C."As ROOFING r7 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURe REGISTERED I YIN FEE CURREN LILN J <br /> Address I License# <br /> LECTRICON COMPANYI= <br /> IGNATURld REGISTERED I Y/ N FEE CURRE11 <br /> Address F I License# F_ <br /> PLUMBER COMPANY = <br /> SIGNATURE I REGISTERED I Y/ N FEE CURREN LU N J <br /> Addre-as License# <br /> MECHANIC AL COMPANY 116AW <br /> SIGNATUREREGISTERED I Y/ N FEE CURREh I Y/N <br /> Address -Z-W,1165 License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED I Y1 N FEE CURREK <br /> Addre-;s License <br /> RESIDENTtAl. Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms:R-O-W Permit for new construction. <br /> Minimum tan(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisionstlarge projects <br /> COMMERCIAL Attach(2)Complete sets of Building Plans plus a Life 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.Storrawater Plans wl Silt Fen,,installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans, <br /> —PROPERTY SURVEY required for all NEW construction. <br /> 4 <br /> Directions:looNs . sessawma . . u . wosmal . saNnoosams . sommossa . . . . . . 1 ­ 11 . . . . . . . <br /> '1 <br /> Fill ou application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7600) <br /> Agent(for the contractor)or Powero"t Attorney`(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING, (copy of 6ontr$tt required) <br /> Reroofs if s:tingles Sewers, SeMce Upgrades A/C <br /> Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter I I'on public road"ys.'.needs ROW <br />