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813-780-0020 City of Zephyrhift Permit Application Fax-813-760-021 <br /> Building Department <br /> Datl?Received no ContacT.t for P.1,11111.17, r('% <br /> 7-r"T1r1r1rrT1r! P't-o . . .L <br /> Owner's Name r,-1, A �c Owner Phone Number <br /> Owner's Address 171 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Ph* <br /> Fee Simple Titaboldir Address <br /> JOB AD rlf�\, 4- LOT# <br /> SUBDIVISION '-J e PARCEL IDO <br /> (OBTARIED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADDIALT SIGN r7 DEMOLISH <br /> INSTALL R , REPAIR <br /> PROPOSED USEfi SFR = rfw" c—rr, <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> OBSCRIPTION OF WORK ut-C <br /> BUILDING SIZE So FOOTAGE HEIGHT <br /> . . . . . . . . . . . . <br /> r7BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRIcAL AMP SERVICE PROGRESS ENERGY Q W.R.E.C, <br /> 92]OP'LUMBING <br /> =MECHANICA J$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS r—J ROOFING 17-71 SPECIALTY = OTHER <br /> FINISHED FLOOR ELSI ATIONS FLOOD ZONE AREA =YES No <br /> BUILDER <br /> COMPANY <br /> SIGNATURE i REGISTERED I YIN FEE CURREN Y/N <br /> Address License <br /> ELECTRICIAN ---'-_�r� COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN <br /> Address License# <br /> PLUNGER � �}��! COMPANY C <br /> SIGNATURE "'I fly FEE CURREN I YIN <br /> Address ll License# <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> I Y/N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE f REGISTERED YIN FEE CURREN Y 7—N <br /> Address License 0 <br /> III itillitiollif <br /> RESIDENTIAL Attoc!4C,')Plot Plans;tL)..ts or tium,no Plans;(1)set or t:norgy I-orms;K-LI-vv Permit tor new Construction, <br /> Minimum ten(10)working days after submittal date. Required onste,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanfta4 Facilities&I clumpster,Site Work Permit for subdivisonsi'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 now construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wf Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance <br /> SION PERMIT Attachi(2)sets of Engineered Plans. i <br /> "PRbPERTY SURVEY required for all NEW construction. <br /> .A,4w... . . . . . . . .� . . . . . . . . . . . . . .. . . . . <br /> Ofirectlons: <br /> Pat <br /> Owner&Contractor alga 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 ovivnei)would be someone with notarized(otter from owner authorizing some <br /> r. <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Roroofr If shingles Sewers - Service Upgrades A/C Fences(Plotfftrvey/Footage) <br /> i <br /> Driveways-Nat over Counter If on public roadways-needs ROW <br />