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813-780-0020 City of Zephyrhilis,Permit;Application Fax 813-780-0021 <br /> Building:Department <br /> Date"Received G ✓ Phone Contact for Permit#In <br /> 9:: . <br /> Ownees'Aame d?("C Q-f/'( Owner;Phone-:Nitmlier <br /> Ownees°Address �. rkOwner_Phone_Numtb r:.;; <br /> ::qFee Simple`TitleholdeeName' �; :.Owner Phone Numtier <br /> Fee Simple Titleholder Address Q�J f j / <br /> JOB ADDRESS,, 5L-tr �0^`f d'1 0 tl(/2 ll✓ �� Y LdT#: ::. ." <br /> SUBDIVISION . y l^ o' P.ARCEL;ID#' <br /> -- L-�� <br /> (p8TA1NED,,FROM:PROPERT?.TAX„NOTICE) <br /> WORWPROPOSED ` AEW.00NSTR8.'. . .:ADD/ALT. 0" SIGN` :`;Q" DEMOLISH <br /> -INSTALL. """ :REPAIR <br /> PROPOSED USE- SFR°' <br /> 0 ' Q. COMM•" ;Qr:- :OTHER.,.4777 <br /> 0 <br /> WPE;OF CONSTRUCTION 0 BLOCK 0"' FRAME': "0` STEEL` , ; >:. <br /> DESCRIPTION;OF-WORK <br /> FlUILDING:SIZE .r," _.. .. .. ,. ,:.•: � ." - _• . <br /> y SQ FOOTAGE , HEIGHT <br /> [BUILDING>. $ YALUATION OF.TOTAL:CONSTRUCTION". <br /> [ELECTRICAL r$ -:�AMP:SERVICE< " ;- 0 ;:•PROGRESS:ENERGY" Q.. W:R.E.C.: <br /> PLUMBING $ <br /> MECHANICAL VALUATiON.OF,MECHANICAL INSTAi Ii 1710N•."`' <br /> =GAS Q ROOFING . 04;-_',;,SPECIALTY,.:= -,OTHER, <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE'AREA' 'DYES• :-NO: " <br /> BUILDER COMPANY -: ° ' 'J;.- '� 1 C.. �"" �n <br /> SIGNATURE 'REi;IS rEREO" ;Y/`:N FEE'cutuzEn" Y LN'« <br /> Address ;:..,;... `iaoensel#:.; <br /> r• <br /> ELECTRICIAN' "COMPANY'.: <br /> SIGNATURE aEGistr'REO'' -FEE <br /> Address' itcense#,TI <br /> Pt,LUMBER COMPANY <br /> SIGNATURE r<..,;. RE�isTteRi 0 Y-/,;N;..: FEE CURRW <br /> Address . >>; <br /> 'MECHANICAL' ' ••;P. '. M. .�' � .. <br /> SIGNATURE aEcisReb' . Yy N. ._ 'FEE;c"URROn. Y•/N.,, <br /> Address,,,. License. <br /> 2r <br /> �; " � ' <br /> 07HER y. COMPANY ' <br /> SIGNATURE REGISTffRED`"' Y ._,N.' r "%'FEE cu{R`RE�; - <br /> Address <br /> r:3-•4' rA3.'., n >•T.his "...Sr.s.�-s�-':i':x ".--. - _ - <br /> RESIDENTIAL Att6ch`(2)Plbt'Plans;"(2)'setstbf-.Biliidliig Piahs;.E1?):setot''Eri rgy Forms R O•.=17V P rrnit for new coristnon;.. <br /> f^` <br /> Minimum ten(10)working,days after submittal".date. Required orisite;'Consfrucdbn Plans;"Stormwate�I?lens.w/Sift Fenceliristalled::.:" <br /> Sanitary Facilities&1 dumpster,Site.Work Permit;fgc st;idi»sl4nsAarge.projedts <br /> COMMERCIAL Attach"(2)complete.sets of Building;Plans,plus a Life SafetyA&(1�).set of.Energy.Fprms.,R.O-W_P"ennit.for new"construction.,;." <br /> Minimum:ten(10)working days affer'.suf�mittat dat&:-Regi�ired!onSlte,Construction Plans.';:'SfdrminiatiPPlans w/SIIt Fencerinstalled;.:' <br /> Sariitary'Facilities&?1 durnpster.'Site:Work:Perihk.'fbrall,new:projects:Ali commercial-requirements <br /> SIGN PERMIT Attach(2,).sets:of,,Engineered Plans. <br /> """PROPER'TY 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 Nottce'of..Commencement is required.:..(AIC.upgrades:over,$7500) <br /> ** Agent(for the contractor)"or Power of Attorney(for the.owner)would be someone with notarized letter from owner authorizing same <br /> OVER-THE COUNTER PERMITTING (copy'of contract requirsd)" <br /> Rercofs If shingles Sewvers w .��ervr ice Upgrades AIC Fences(PloVSurvey/Footage) <br /> Driveways-Not over Counterif,on publicroadways:.needs ROW <br />