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813-780-0020 City of Zephyrhilis Permitfipplication Fax-813-780-0021 <br /> Building Department <br /> Date Received A <br /> I Phone Contact for Permitting U.1 <br /> &L&U4.L"A I I I Ell Yt:-, - f Cr 13MQ <br /> ownses Name Ow or Phone Number <br /> Owner's Address 0M UD C`l wa� awier Phone Number <br /> Fee Simple Titleholder Name r Ow or Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS MQ514 C_yffie DT LOT* <br /> rr I I( d <br /> SUBDIVISION A Iffy PARCEL ID9 a+AW-3 I- U10-Q= 0 <br /> (OBTAMED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED e <br /> 'NEW CONSTRR. ADD/ALT' SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE CJ SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK Ey—6 I On A45ia <br /> BUILDING SIZE SO FOOTAGE EIGHT <br /> =BUILDING. 1$ VALUATION.OF TOTAL CON tkUCTION <br /> =ELECTRICAL -J$ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> PLUMBING <br /> I I*I oo <br /> =MECHANICAL $ VALUATION OF MECHANIC L INSTALLATION <br /> GAS Q ROOFING Q SPECIALTY THER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ........... ...... ......... <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED L7_YLN FEE CURREN L_yl N_J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY MkoeveDn <br /> SIGNATURE REGISTERED FEE CURREN YIN <br /> Address IL45[1 be ew License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED L Y/ N FEE CURREN _LUN J <br /> Address License# <br /> COMPANY <br /> OTHER REGISTERED YIN FEE CURREW <br /> SIGNATURE <br /> L <br /> Address _7 License#C <br /> ....................................-INUHHmill HHHHH9 <br /> Energy <br /> Forms. Permit <br /> RESIDENTIAL- Attach(2)P16t.'Plans;(2)sets of Building-Plans;(1)set of Energy- <br /> . 2 9 V�Pe� <br /> -O-W Permit for new construction, <br /> Minlmum.ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I•dumpster,,Site Work Permit for subdivislons/large projects. <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page-,(1)setl of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,CoAstruction Plans,Stormwater Plans w]Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet 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 n tamed 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/Footige) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />