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813-780-0020 City of Zephyrhjlls Permit App ication Fax-813.78E-0021 <br /> tuilding Department <br /> Date Received l i Phone-Contact for Permitting 7 1 <br /> Owners .�Name alie, ZN <br /> V1 4 h 1M Owner 2hone Nu or G <br /> Owner's Address 5-073 Sumn'ICv' (I DT: z Owner hone Number 7 o JCJ� <br /> Fee Simple Titleholder Name F Owner I Phone Number <br /> Fee Simple Titleholder Address C <br /> JOB ADDRESS SDZ3 �I,ll'►1`hv, -PY' LOT �Z <br /> SUBDIVISION 4,nw✓ 1411 PARCELID# IDO-00ow-cizo <br /> (DETAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEWCOLSTRF__1 REPAIR SIGN = = DEMOLISH <br /> F1 INSTAL <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION =T BLOCK Q FRAME = STIfEl. = <br /> DESCRIPTION OF WORKJ %�°) !Y /IITN) PW/ W AV , IL t <br /> BUILDING SIZE L(Ti�l SO FOOTAGE HEIGHT r ,JU p <br /> BUILDING S �Q VALUATION OF TOTAL CONSTF UCTION <br /> ELECTRICAL AMP SERVICE PROGRESS ENERGY = W.R.E.C. :r>I,14 � <br /> 2:fp,LUMBING S 000- � <br /> =MECHANICAL S VALUATION OF MECHANICAL It STALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 'u (7 r �j'' <br /> BUILDER 1 COMPANY F�✓� �I l '7 <br /> SIGNATURE �p ,p t_. �� REGISTERED Y/ N FEE CURREN YIN C� <br /> Address I LN0 IV Akka Y, r (�G13 LicensseLe#-- C r/ ��few <br /> ELECTRICIAN ' "COMPANY *Y/ <br /> kvw- 55wice CA U <br /> SIGNATURE REGISTERED N I FEE CURREN Y/ <br /> Address P--0- 2,32 4 R-33&Z13 <br /> License# EG130�O yL,? <br /> PLUMBER MPANY <br /> SIGNATURE ,Jj GISTERED SS <br /> / N FEE CURREN I TIN <br /> Address T'1 fkA56i '1(hPW.Ft31J1 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED L=Y Lt!.j FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED E=yLLJFEE CURREN Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R- -W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Const cdon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivislonsllarge prof 3cts <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufa Safety Page:(1)set of Energy Forms.R-O-W Permit for new Construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Cons ctlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All co rimercial requirements must most compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notai Ized letter from owner authorizing some <br /> i <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />