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8,13-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 121, 00 <br /> owneesN... tr6 M 4AOwnerZ O NI.1.,9 P h9.a.a N <br /> um b-er ro-1 3 <br /> Ownees'Address 13 Ova \/V 11 O ICA- D Y owner Phone Number <br /> Fee Simple Titleholder Name I t Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS La-Aeside, or LOT# <br /> SUBDIVISION i r*crs M P I PARCELID#1/`0 -)0 D/ 0000 00a00 0006 <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CDNSTRZ/ ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL r 777-1 <br /> DESCRIPTION OF WORK • I-E &a 0- 4)U--k commQ-1h 8TO <br /> ou Ww- <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> -ff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BU1LDJNG 1$ 1 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL is —1 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =FLUMBING 1$ 7 <br /> 02KVECHANICAL 1'39q5, VALUATION OF MECHANICAL INSTALLATION 7 <br /> =C".Jks = ROOFING Q SPECIALTY = OTHER p' '5-11 <br /> FINISHED;-LOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURA REGISTERED I YIN FEE CURREI, <br /> Address I License#F— 7 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED I Y/N I FEE cuRREt, I Y/N 1 <br /> Address I License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURREK I YIN <br /> Address I License# <br /> MECHANICAL COMPANY lbahP;� <br /> SIGNATUR.2 .41 REGISTERED I YIN FA CURREN LILIN J <br /> Address License#M-0-Qq.au-y <br /> REGISTERED Y/ N FEE CURREK <br /> OTHER COMPANY <br /> SIGNATURE License# <br /> Address <br /> RESIDENrAL Attach(2)Plot Plans;(2)sets of Building Plans:(1)set of Energy Forms;R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsilarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life safety page;(1)set of Energy Forms.R-O-W Permit for now construction. <br /> Minimum ten(10)worldng days after submittal date. Required onsite,construction Plans,stormwater Plan,wl Sift 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 /> . . . . . . . . . . . . . . . . . . . <br /> F911 our application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$250*0,'a Notice of Commencement is required. (A/C upgrades over$75110) <br /> Agent(for the contractor)or Paver of Attorney(for the Gwner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if s-singles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on'public roadways-needs ROW <br />