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813-780.0020 City of Zephyrhilis Permit Application Fax-813-750-0021 <br /> Suiding Department' <br /> Date Received 2 Phone Contact for permiHtn kl5 R76 - yzx6 <br /> Otmefs Name g� jar �t s 1� Owner Phone Number <br /> Owner's Address Af) C"e t,►r" /./14 7! Owner Phona Number <br /> Fee Simple Titleholder Name r Owner Phone Number <br /> Fee Simple TitiehotdsrAddress ` <br /> JOHADDRESS �jry S 7✓`y" LOT <br /> SUBDIVISION r'"i 4,�' tf PARCEL ID# f✓ .2/'e0/t9•" I S GA4' d 18fa <br /> -J� (OBTAINED FEW PROPERTfTAX NOTICE) <br /> WORKPROPOSED NLSNCGNSTRB BlAL [� SIGN [� Q DEMOUSH <br /> INSTALL <br /> PROPOSED USE Q SFR COMM C] OTHER <br /> TYPE OF CONSTRUCTION (= BLOCK / [� FRAME STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> ^r-r-r•r-r-r�c-rs-r-i-r=rrr-s�rrt-r-r�ri'r't-r-rs-z-r^r-rt�s-r-r-rrrr•s-r�rrrrrt-�rrc-rrt e-s-�e-rc-rr•t-c�t-' <br /> =BUILDING E jll VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL ($ /D AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> [PLUMBING Is <br /> =MECHANICAL ! __ —( VALUATION OF MECHANICALiNSTALL&ION <br /> =GAS ROOFING [] SPECIALTY[= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO s <br /> '�1-.-��,- 'i-•.-:-'�--a"e'.-'�1-S-i-i-k-[-I-'e-'r-1�:-i-t-+ 0c1-'rt�i-'r- -S-"r�C.'pEei a'-w l-� f- .r.�5. <br /> BUILDER �� OMPANY <br /> SIGNATURE �I f RWIrTTem YIN FEECURIM YIN <br /> Address F <br /> / ,3 I. I� I7[/ r �r/ / Licensed C�GCOMPANY <br /> SIGNATURE YIN FEEct>nm ELECTRICIAN '- REGISTERED YIN � g <br /> Address Ucense d <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURRM YIN <br /> Address: Licensed( 3 <br /> s. <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURR'EA YIN a� <br /> Address Licensed <br /> OTHER COMPANY <br /> SIGNATURE ( ! REGISTERED I YIN I FEECURRe+ Y/N <br /> Address License$F— ��� <br /> Ik ! ! [! full![I !lII11lIII1111[ 1111l111111IIIi11 [111![ IIIikI11I111111 <br /> RESIDENTIAL Attach(2)Plot Plaris;.(2)sets of Balding Plans;(1)set of Energy Forts;R-O-W Permitfornewconstruction, <br /> Minimur ten(10)working days after submittal date.Requtredonslte,Construction Plans,Slormwaferftnsw/SIR Fence Installed, <br /> Sanitary Facilities&1 dumpster,Site Work PermitforsubdivistonsAarge projects a <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufa Safety Page;(1)set of Energy Form.R-OW Permitfornevl construction. s <br /> Minimum ten(1(l)working days aftersubmittai date.Required onsite,Construction Plans,Stonnwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance d <br /> SIGN PERIAIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consbucllon. <br /> Droc t[�t i-[... . . . S.[-E�i- 1€ <br /> Fill out application compieteiy, <br /> Owner&Contractorsign back ofopplication,notarized <br /> if over$2600,a Notice of Commencement is required. (AIO upgrades over$7500) <br /> Agent(for the contractor)or Power of Attomey(for ijte otvrier)would be someone with notarized lefferfrom owner authorizing same <br /> OVERTHE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shfngles Sewers SovAce Upgrades ABC Fences(PIoVSurvey1Foota9e) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br /> 9 <br />