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r <br /> 813-7e0-0020 City ofZephyrhilis Permit Appfication Fart-813-780-0021 <br /> tt Building Department <br /> i. <br /> S r <br /> Data Received I Phone Contact for Pormitting Ic <br /> � <br /> Owner's Name D,i,�• Owner Phone Number <br /> f <br /> Owners Address k Owner Phone Number <br /> Fee Simple Titleholder Is 0";mr:phc:a P: ... , <br /> Fee Simple Titleholder Address <br /> \ <br /> JOB ADDRESS �LGC2 LOTS �i /►-���c' <br /> SUBDIVISION -4-e.-t PARCSL JDAI <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW <br /> CONSTR 8ALL REPAIR ALT �� SIGN = = DEMOLISH <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK <br /> �--�= FRAME STEEL [� <br /> DESCRIPTION OF WORK F�IeLIL <br /> BUILDING SIZE i SO FOOTAGE HEIGHT <br /> . .ES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> UILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELEECTRICAL S AMP SERVICE = PROGRESS ENERGY C W R.E.C. <br /> [ PLUtdBING 5 <br /> =MECHANICAL I' S VALUATION`UA '—•OFFMMECHANICAL INSTALLATION <br /> =GAS I. = ROOFING SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> a <br /> 4 <br /> 4 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEECURREA <br /> Address [, Licenseft <br /> ELECTRICIAN COMPANY <br /> SIGNATURE I REGrSmfm Y/N FEE CURREN YI /N I <br /> Address Licenseft <br /> PLUMBER f COMPANY <br /> SIGNATURE c�q REGISTERED FEECURREN �Y/ <br /> Address cart/ r r c a t, <br /> ii <br /> MECHANICAL f COMPANY <br /> SIGNATURZ ff rw_c,'vTEe.vI Y/N ree6UR= LY r N <br /> Address k License S —� <br /> OTHER COMPANY <br /> SIGNATURE k 1 REGISTERED I Y/ N FEE CUfIN6 Y/N <br /> Address License 0 1 —� <br /> tlttlt111ttttllltt1t11 ( Ittt9tlttttitll9ttttttertetet � tttt � � � � � � � � et � <br /> - - - - - - - - - - - - - - - <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onslte,Construction Plans,Stormwater Piano w/Slt Fence Installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large 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 naw onnstnln.Inn, <br /> Minimum ton(10)working days after oubmittol dots. Roquirad onolio,Conolruetion Plana,Stormwator Plana w/Bill Fence Installed, <br /> Sanitary`Faciities$1 dumpster.Site Work Permit for all new projects.All commerrJal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"'PR PERTY SURVEY required forall NEW construction. <br /> • 1 { •r. t t' 1 . . . tot t✓tit ° •dJ t t t <br /> Directions:• <br /> Fill out application completely. <br /> Owner 5 Contractor sign back of application,notarized <br /> If over$2500,a Notle.o of Commoncomont io roqulrod, (A/C upgradoo over$7500) <br /> r <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notenzed letter from owner authonzIng same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rarcofs If shingles Savers Service Upgrades A/C Fences(Piut/Sumeyrootage) <br /> 0 <br /> Driveways-Not over gounler Iron public roadways.,needs ROW <br /> f <br /> t <br />