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813-780-0020 City of Zephyrhilis Permit pplication Fax-813-780-002i <br /> PP Building:DepartmeLnt <br /> Date Redelved Phone Contact for Pormittin ce- <br /> UIXOMM==1 <br /> Owner's Name mes nor Phone Number <br /> Owners Address F-M— UD D(!; i ner Phone Number <br /> Fee Simple Titleholder Home 0 0 or Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT 0 <br /> SUBDIVISION ["jC&0 PJVfY_] PARCEL IDO I 9H LQ-al- DILL QQCQQ- DDSO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR- ADD/ALT SIGN- DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK I y4YI OCA-K On nf--Aa I I <br /> BUILDING SIZE L_ I _9Q FOOTAGE= HEIGHT <br /> OWWR .......... <br /> BUILDING, IS VALUATION OF TOTAL CON TkUCTION <br /> ®ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> TR <br /> PLUMBING C-DO <br /> 1$ 1 L', <br /> =MECHANICAL $ VALUATION OF MECHANICA INSTALLATION <br /> =GAS ROOFING SPECIALTY THER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 111111 H+++4+H+H+H .............. ............ <br /> +N44++ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED N FEE CURREN <br /> Address License# F_ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY +1 on <br /> SIGNATURE 6A, REGISTERED N_ FEE CURREN 19CYA-7 <br /> Address -7 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE qURREh <br /> Address License# F <br /> OTHER COMPANY ' L <br /> SIGNATURE REGISTERED / N FEE CURREN L_yl N J <br /> Address License# <br /> .............. ........ <br /> HHHHHHHH... <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 onsitig,Cons;- ction.Plans- Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&_i dumpSter,,Site Work Permit for subdivisloinsfiarge pro ects <br /> COMMERCIAL Attach(3)complete sets Of Building Plans plus a Life Safety Page;(1)set o Energy Forms.R-O-W Permit for nevi construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Cons ction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All mmercial requirements must meet compliance <br /> IT <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *—PROPERTY SURVEY required for all NEW construction. <br /> Kill 1111111 11 - - - fill <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. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with nota,zed letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING , (Front of Application Only) <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 />