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u„-vve_u City of Zephyrhilis Permit Application Fax-813-780-0021 Building Department A Date Received 7,� fiii� + a��>= �" � ° • Phone Contact for Permitter - Owner s Name t�, CS ---. q L ' �, b"I '` Owner Phone Number .�� Owner's Address I�;�oA 7,-!e- Owner Phone Number �� Fee Simple Titleholder.Name ,»• Owner Phone Number I Fee Simple Titleholder Address JOB ADDRESS Ei 1('-rJb I-a* jS LOT# SUBDIVISION L'�l",_-- e-4G, PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED 1 `_- NEW CONSTR R tL ADD/ALT SIGN � 0 DEMOLISH.�J1 INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION , / BLOCK FRAME STEEL DESCRIPTION OF WORK �rl�t-^�' J'arafc{' rv�Y �, f'Sstc� �= S' c�i 3 BUILDING SIZE —� SQ FOOTAGE "3 � HEIGHT -r-W-m•-�-e-Tm_r'='i~e`'t'>,><-9-A-e-r-'r'><"r r�ruTt'-�"><-rs ti- a-i-a-V-ra-a-•�'3-s;-e�" =BUILDING $ , VALUATION OF TOTAL CONSTRUCTION []ELECTRICAL $. D AMP SERVICE PROGRESS ENERGY 0 . W.R.E,C, CI =PLUMBING $ 2+ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l 0 =GAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS �1 FLOOD ZONE AREA DYES NO —�'—F1-9--C—�`—�--C-i—#^-6—C•-y—!"�•i—�—C—}I'-0--:-1--i--C~6—�:—C--#-3—:�•;—g—�'—'a�E=:--1—�-:-•±+r-I-$—A—&—ia—'s-9«.➢—;.,4—'u��:-�B�i•q�°�-i-mS-4--0—F—t� BUILDER � _� " T COMPANY "F —� �? SIGNATURE t REGISTERED Y( N FEE GURREN Address + �� <i�.n> , +" License# - - �,Q ' RLECTRICIA(J COMPANY '1d 'l� nil. �"1 '` r SIGNATURE REGISTERED Y( N FEE GURREN Y/N s �( Address �d X� A=�� D .r?"� e - License# f-c-� 1 I r PLUMBER .-x^�` � _ COMPANY / a .SIGNATURE REGISTERED Y( N FEE GURREN Y/N e� i?i;r ham' License# G - r�' Address � �� .��,�rr � t��?�•��•- �'r � -" � - MECHANICAL r. COMPANY P"'ll�r,t brc a 9 , Vera? SIGNATURE �� ''` ^ . ^-- REGISTERED W/ N FEE GURREN Y(N ' Address ..�'7-P;"� Gj u�. f��a�'�c�c cf,�"/`e r ss� License# 5 f�1'"h %' i OTHER COMPANYf�G �. /) ter — g SIGNATURE REGISTERED I Y/ N J FEE CURREN Y/N l" Address License# 111 # 111lIt # III III all 111111111all -III 11' 111111111111 RESIDENTIAL Attach(2) Plot Piar,,; (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten (10)v:,:Irking days after submittal date. Required onsite,Construction Plans,Stormwater_Plans w/Silt,Fence installed, Sanitary Facilities b 1 dumpster;Site Work'Permit for subdivisions/large projects COMMERCIAL Attach (2)completf Sets of Building Plans plus a Life Safety Page; (1)set of Energy Farms.R-O-W Permit for new construction. Minimum ten (10)t )rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, Sanitary Facilities 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of E igineered Plans. *"*PROPERTY*SI''gVEY required for all NEW construction. -t-A-G-0..8-1.-6•.9..E-8-��Y-G-i.-Y..1.:1:.::a-6--tl-1-4--1-1•-8.-s•o-l•.A..•L'-.C-b-l-6-.8..t4•...6..9-.8.-B--S.-b-6-8-�-6.-4-.L-.9-IS�l-5-6-@..E-68- 9�6p8,-4.-P...b-0-k Directions: Fill out application completely. Owner&Contractor sign back of i)plication,notarized If over$2500,a Notice of COmn'vncement is required. (A/C upgrades over$7500) ** Agent(for the contractor)or Pow(:, of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs•if shingles • Sewers 'Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if oIt public roadways..needs ROW