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tau-UU!W City of Zephyrhiils Permit Application FaX=813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's Name C CS ,-. �= Owner Phone Number �� <br /> Owner's Address' � �'� �� j ` `� Tc rv+ �J'� � ��Owner Phone Number <br /> Fee Simple Titlehoider.Name �� Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ao Itulurd,W\q%hI10s,k33-Tq LOT# �U ` <br /> SUBDIVISION ✓ PARCEL ID# /%`� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ET NEW CONS 8 ADD/ALT �� SIGN 0 DEMOLISH , <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM 0 OTHER <br /> TYPE OF CONSTRUCTION , �� BLOCK 0 ::, FRAME STEEL <br /> DESCRIPTION OF WORK <br /> -_ `tom '� HEIGHT C � <br /> BUILDING.SIZE SQ FOOTAGE S�" <br /> -x-'�-re-s"r's-rr-;t�-t-s^'r-e�-e"r'��-�-r-r'-><'�r"rr�"�- r-s-s-�-r�_x-'r'�"r.r�_�-r-�-rr't'r•R-z'�rr"�-r"r-�'a-s"c-�-e-I- <br /> OBUiLDiNG VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL �$ =` - AMP SERVICE PROGRESS ENERGY 0 . W.R,E.C• <br /> =PLUMBING $ <br /> =MECHANICAL `$ VALUATION OF MECHANICAL INSTALLATION <br /> [�]GAS E?r ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS 7s „� FLOOD ZONE AREA =YES - NO <br /> -t'-9-C-�-�-i--�-1-•i-1-9•-6-F�-fi-O--C-i-GG8-6-•i- 0 <br /> �-a�-�C--"r-;-C-i�-�-I-o-3-1•-p-:�-f�•-C-:•-i-7-�-tl-6-Z-'�"-6-p-;--7-3..:-a <br /> BUILDER � COMPANY a _ �0 -A-di <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address �0 �7v1 / /e-<,� I r� License# <br /> �LECTRiCIA(V r COMPANY EX II-C. <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> dr�i �JA�=�0Om�O" .fie .?rFl License# !/�~rt J 4? <br /> y <br /> PLUMBER COMPANY <br /> .SIGNATURE �kn � REGISTERED Y/ N FEE CURREN Y/N <br /> Address 6,01 �1111 Lmkl_1z, I License# a dr"c 0 9(/ <br /> MECHANICAL r COMPANY " -4itl � �� d Ni <br /> SIGNATURE r �' "`- REGISTERED W/ N FEE CURREN Y/N <br /> Address ` +��2 1,9a [v z� License# ���0,?;3 65 %' I <br /> OTHER . COMPANY <br /> SIGNATURE -�` ,/� REGISTERED Y/ N FEE CURREN Y/N <br /> Address rf 4� A r 1 License# <br /> 1IIAIDII !' lIIIIIII ? 1iIII11itFi11Ii16tltl11Itlt1iltl11111tl1tl1. 1tltltltlltllltlll <br /> RESIDENTIAL Attach(2)Plot Piar< (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten (10)vrorking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/SI1t.Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work*Permit for subdivisions/large projects <br /> COMMERCIAL Attach (2)compiev 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)�.)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 /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> *"*"PROPERTY'S[!RVEY required for all NEW construction. <br /> d..1.f--a I-I-�..!:-i..C-I-tl--tl-G.-I..d..i..Ir..L'- <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of £Dplication,notarized _. .... . <br /> If over$2500,a Notice of Comni-ncement is required. (A/C upgrades over$7500) <br /> ** Agent(for the contractor)or Powi 1,of Attorney(for the owner)would be someone with notarized letter from.owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs•if shingles - Sewers - `;enrice Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on 3ublic roadways..nBeds ROW <br />