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City of Zephyl hilis•l?ermit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �,�""'�' <,.� a,�a,�><!" -••• �}tt..... �` ���x. � <br /> Phone Contact for Permitting <br /> --1-i I I 7r It' <br /> Owner's Name . G t^ c"S f-, Owner Phone Number <br /> Owner's AddressOwner Phone Number <br /> Fee Simple Titleholder Name -G evn. `C_ Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION �f l 1-:>-e-r PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEw CONSTR R <br /> ADD/ALT SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �� SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION • F-Q-1 BLOCK ; FRAME STEEL <br /> DESCRIPTION OF WORK 5•�rl� <br /> BUILDING SiZE SQ FOOTAGE Z ° `7 HEIGHT <br /> 'rrrr-r^�^'rrrra^�-a-fr-t^'r'r-mr¢-�Tr-r"r'•rrr"t-rrr"r's-r'r-rme^r"1"r-rrrrr-rR'-o"r-a'�-i-i-t-rr-r"��r�m-e-r- <br /> =BUILDING kk VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $, l AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> [=PLUMBING Is •�l��� <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS j�l • � FLOOD ZONE AREA OYES NO <br /> •4-�-C--�--Q-1E---C--i--i-•i-�-I-1-q-S--i--i-i--±-i'l O--C-at-1-:-IBC-^i--:-fi-"i--i-il-:-i-7-•:-:-1-'r-fii-ice-:-t:•�--E-a-,i-1[•i-:-➢-•i..•'.➢-.I��r°,r$-i-Q•�i-d-@-•$- <br /> BUILDER' j �;,� � COMPANY - ! -�`-' ZT), <br /> 3iGNATURE �` REGISTERED Y/ N FEE CURREN Y/N <br /> Address %c�G'[?v l-If/Zrcp,r,- ,0 t- License# <br /> COMPANY t' le t'-.1 <br /> 31GNATURE REGISTERED Y 1 N FEE CURREN Y/N <br /> Address 6t�-. �J�w P�O� O� ��,�? � License# -Qi <br /> 'LUMBER COMPANY <br /> 31GNATURE �' -- REGISTERED Y/ N FEE CURREN Y/N <br /> Address �""''P,- License# <br /> —z <br /> vIECHANiCAL ! COMPANY <br /> 3iGNATURE f ` �.�LG r"�" '"'_` REGISTERED Y// N FEE CURREN Y/N <br /> Address � � �"�f' �� /E� a.a �•u/ � �� License# <br /> )THERR.-�-- COMPANY =-ef-d �(� l <br /> ;IGNATURE �` "'� REGISTERED I Y/ N J FEE CURREN Y/N <br /> Address "`1" � 7' License# �^ <br /> � �1��-�•"�" <br /> Ilillllt !' llltllll � 1111iliiltiililliiiliiiltilillti •titllllltllllllll <br /> IESIDENTIAL Attach(2)Plot Plans; (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)v-.lurking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/SlIt,Fence installed, <br /> Sanitary Facilities& 1 dumpster;Site Work'Permit for subdivisions/large projects <br /> ,OMMERCIAL Attach(2)complett sets of Building Plans plus a Life Safety Page; (1)set of Energy Forms. R-O-W Permit for new-construction. <br /> Minimum ten (1 D)% )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 /> ;]ON PERMIT Attach (2) sets of E.-igineered Plans. <br /> "PROP ERTY,S(sgVEY required for all NEW construction. <br /> 1-.i-.1-.1--6-i--6.-8..6-a--i..'.-.�i-"Y.�e.�r.�-v..1--0'-f-f--6-1-A-i'.8..1�.L.i�i-Q.JS-6.-B-i-6-�-�C-6.-1-i-�d..8.-i'-d-lf'-?�I'.-d-B-G�9-0..0-�Y�D-l.-O•.3•.I•.H..b.+ <br /> tlrections: <br /> Fill out application completely. <br /> Owner�Contractor sign back of,i 7plication,notarized <br /> If over$2500,a Notice of Comwvncement Is required. (A/C upgrades over$7500) <br /> Agent(for the-contractor)or Powt,r of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> 1VER THE COUNTER PERMITTING (copy of contract required) <br /> eroofs if shingles • Sewers :;ervice Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />