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i <br /> 813780 0020 City of Zephyrhilis Perm!-Application Fax-813.7e0-W21 <br /> Building Departme it G <br /> Date Received Phone Contact for Perntittln <br /> Owner's Name 2• ner Phone Number <br /> Ow e, neAddress Owner Phone Number <br /> Foe Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder address <br /> JOBADORESS ra+ �. �\ r LOT# <br /> SUBDIVISION J PARCELIDl1 <br /> lotrrauaso FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR 8 ADO/ALT SIGN © = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE t....l SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE 1 7 SQ FOOTAGE HEIGHT <br /> =BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =EL.ECTRICAL Is AMP SERVICE = PROGRESS ENERGY = WR.E.C. <br /> PLUMBING S C ?� <br /> =MECHANICAL S VALUATION OF FAECK INICAL INSTALLATION ?/C&n� <br /> =OAS Q ROOFING SPECIALTY OTHF-R <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE ARI A AYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURRE6 <br /> Address License tk <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTEREo I Y/ N FEECURREP Ljj N <br /> Address utxn6ee --� <br /> PLUMBER COMPANY �M�o'�R Lj=-5 o cl-e, <br /> SIGNATURE REGISTERED FEECURREn I YIN <br /> Address <br /> MECHANICAL COMPANY <br /> SIGNATURE acorarcmroI Y/N FeE CURRT I Y/N <br /> Address License k <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECU(R'RELY1 NJ <br /> Address License fl I _� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)seta of Building Plans;(1)set of Energy F ones;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required ons to,Construction Plans,Sloimwater Plans w/Slit Fence instaeed. <br /> Sanitary Facilities&1 dumpster:Site Woik Permit for subdlvlslons large projects <br /> COMMERCIAL Attach(2)complete seta of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for now construction. <br /> Minimum ten(10)working days after oubmiltol date, Required ono to,Construction Plan,Stvmiwaior Plano w/Silt Fence inalallad, <br /> Sanitary Facilities A 1 dumpster.Site Work Permit for all new proje cts.Ail commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets 0f Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign beak of oppsoouon,notorized <br /> if evor b2600,a Notioo of Commoneomont ie required. (Af0 upgrodos ovor 600) <br /> Agent(for the Contractor)or Power of Atlomey(for the owner)would be someone with notadzea letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remo%if shingles Sears Serlice Uporados AIC Fences(PIDUSury /Footage) <br /> Driveways-Not over Counter if an public roadways-needs ROW <br />