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813a780.0020 City of Zelphyftlills Permit Application Fax-813a80-0021 <br /> r, Building Department <br /> Dade Received Phone Contadfor Pennitfing ( 95 f G <br /> Owner Phone Number <br /> OwneYs N une <br /> Ownees Address�n Locr�c C��It/ t �•f } Owner Phone Number <br /> Fee Simple Titleholder Name t Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Fi q LO,T E <br /> A# <br /> SUBDIVISIONi�Lt�� Q-1 �� � PARCEL IDS crL '` L/I �t/a�� D <br /> (OBTAINED FROM PROPERTY TAX NOTICEI <br /> WORK PROPOSED a NEW CDNSM ADD/ALT SIGN 0'' = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q,. SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION _ BLOCK. = FRAME STEEL <br /> DESCRIPTION OF WORK. L l L✓ "'L7 oC C:B N��+�� r V <br /> BUILDING SIZE i SQ FOOTAGE - � HEIGHT <br /> ESUILDING -VALUATION OFTOTAL CONSTRUCTION <br /> =ELECTRICAL IS AMP SERVICE C] PROGRESS ENERGY W.R.E.C. <br /> =F'LUMBING S <br /> h'ECHANICAL $ � ©t) VALUATION OF MECHANICAL INSTALLATION <br /> =C'•AS = ROOFING Q SPECIALTY `—, OTHER <br /> FINISHED w LOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> StGNATUR`= REGISTERED I YIN FEE cuPoiEA LZ4N <br /> Address License#F <br /> ELECTRICIAN COMPANY <br /> SIGNATURE ±� REGISTERED I YIN FEE CURREN <br /> Addrs>s License# <br /> PLUMBER i� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y!N <br /> Address _ /r License#r <br /> MECHANICAL COMPANY �/y }}yf ,+�, <br /> StGNATUF / REGISTERED YIN FEE CURREt /N jL <br /> Address Bl�l License# ! � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED LYIN I FEE CURREf, Y/N <br /> Address License#i !� I <br /> 1 ( 1111111111111IIIII'111'IIIIIIIIIII. .ILIIIIIItt11II fit ItIIfIfII11.1111 <br /> RESIDENTIAL Attach(2)Plot Plaris;(2)sets of Building Plans;(1)set of Energy Fomis;_R-O-W.Permit for new construction, <br /> Minimum ten(10)working days after submittal data. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plusa Life Safety Page;(7)set of Energy Fomis.R-O-W Permit for new construction. <br /> MtnIR1Um tan(i0)wwidrsg days after submittal date. FLegWred onsita Construction Plans,Stonnwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all now projects.All commercial requirements must meet compliance <br /> SIGN PERF IFT Attach(2)sets-of Engineered PWhs; <br /> —PROPERTY SURVEY required for alINEW construction. <br /> Dir�eGi-i—b . <br /> Fill ou application completely. <br /> Ownei&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Coinmencement Is required. (A/C upgrades over$7500) <br /> `• Agent(for the contractor)OtPOwar Of Attorney(for the,owner)would be someone with notarized letter from Owner authorizing same <br /> OVER THE COUNTER,PERMITTING - (COPYof,contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PiotlSurvey/Footage). <br /> Driveways-Not over Counter if on public roadway-,.needs ROW <br />