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s1 780-OOM City of Zephyrhilis Permit Application Fax-813.780-W21 <br /> a Building Deparbnent <br /> Date Receive d -2-o-f Phone Contact for PermUtin — <br /> Owners Na a Owner Phone Number <br /> ne <br /> Ownees.Add vuss Owner Phone Number <br /> Fee Simple holder Name Owner Phone Number <br /> J <br /> Fee Simple 7 tleholdar Address <br /> JOB ADDRO S LOT# <br /> SUBOMSION PARCEL ID# <br /> (OBTAINED FROM PROPERTYTAX NOnCq <br /> WORK PROF IOSED - INSTALL <br /> CONSTR ADD/ALT SIGN 0 = DEMOLISH <br /> = INSTALL V REPAIR <br /> PROPOSED LISE ® SFR [] COMM 0 OTHER' <br /> TYPE-'OFCONSTIkUCTION iL—'J BLOCK Q FRAME STEEL Q <br /> DESCRIPTIC WOF WORK <br /> sK <br /> / <br /> BUILDING'SIZE SO FOOTAGE HEIGHT I —J <br /> =BUILDING IS O M VALUATIOMOF'TOTAL CONSTRUCTION <br /> o W <br /> =E CTRICAL$0 $ Q�,O AMP SERVICE = PROGRESS ENERGY///��� Q W.R.E.C. <br /> =PL MBINO $ /', r t ( 7 <br /> = CHANICAL $ VALUATION OF MECHANICAL INSTALLATION- <br /> /p�V <br /> =G S ROOFING 0 SPECIALTY = OTHER K(fr—f 7 T <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER '•r)COMPANY C.. <br /> SIGNATURE E REGISTERED Y!N FEE CURREN Y!N <br /> AddrewrLicenses <br /> ELEC.TRICI 1V�1 l!C COMPANY 191we, �- <br /> SIGNATURE I REGIsrErtED Y/N FEE CURREn I Y/N <br /> Ucense# <br /> PLUMBER.,. COMPANY <br /> SIGNATURE RED, I Y/N FEE CUIUM Y/N <br /> Addmss Ucense# <br /> MECHAkiCP COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURREn I Y/N <br /> Ad&dsi License# <br /> 07HER" 'F COMPANY <br /> •SIGNATURE REGISTERED I YIN FEE CURREA LILN <br /> Add►es.•. License# <br /> `REBID.- •- i4ttaci�(2�PIotElarisi.'-Iij safe$f$irlld0ig Plsns (1)set of EtrergyF'orms;R O W Per(nO.for nev/.eonstructlon, <br /> Arilmum t n'.00)WcjMhMdaye after.submlttel.date. RegdIred'brisite.Constnietion Plans,Stonmwater Plans w/SIR Fence Installed, <br /> r "tary FpcIN k&!4,.dumpster SIte;Wgrk Permit1or•.subdivlsidns4arge•proJebts <br /> COMMERC I Attaeh12)-oo6plete eats&BuknAg Plana plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> MWmum ten(10)working days after submMW date. Required onsite,Construction Plana.Stormwater Plans w/SIIt.Fance•Installed, <br /> Sanitary Facilities&1 dumpster.Site Wortk Permltfotall new projects.Ali commercial requirements must meet compliance <br /> -SIGN PERmiT Attadi(2jiWtsof-Engineered Pians:.• <br /> ""PROPERTY St1RVEY requlr.ad for ati.NEW.construction. <br /> '=Directlorrs:. .. . <br /> Ril'outa 2plicadoncompletely. <br /> Owner -Contractor sign back of application,notadzed <br /> ! If over 00,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Aggerit( rthe•contiactor),orPower'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 /> Ratoofs If shi les Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> - t <br /> Dd. of over Counter H on p1360c ioedj3vQs.'rieeds;RUW <br />