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813-780-0020 City of ZephyrhillS Permit•Applica#ion Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact.for P,.ermitting <br /> Owner's Name ^� <br /> 'l`L�SL_ e, r?l�Q ,.. . Owner,:P.hane.:'Number.;,:; ) -3'�2.. G.q) <br /> Owner's Address . ^ 1'. 1 5.. :OwnerP.hone Number, ; <br /> Fee Simpie'TitfeholdeeName. �: Owner:Phorrie linker <br /> r- <br /> Fee'Simple Titleholder Address.J:t7BADDRESS1 ;` <br /> SUBDIVISION PARCEI:;!D# <br /> (OBTAINED.FROM.PROPERTY:TAX•NOTICE) <br /> WORIC'PRO POSED =NEW:.CONSTR ::,.:, :AoDiALT SIGN: DEMOLISH <br /> ' .REPAIR' , <br /> PROPOSED USE :Q .'SFR 0 COMM .: a._. :OTHER >.: <br /> TYPE::OF"CONSTRUCTION ` BLOCK 0 :FRAME' ' STEEL <br /> r- <br /> ' <br /> DESCRIP..,TION:OF WORK: <br /> S F HEIGHT:-'.- <br /> BUILDING SIZE;.�. Q OOTAGE T-': <br /> - <br /> .ty <br /> BUILDING:. $ <br /> VALUATION OF.TOTAL CONSTRUCTION. <br /> =ELECTRICAL $ AMP.SERVICE:. ,PROGRESS-ENERGY 177.: 'W.R:E.C. <br /> RLUMBl1tiiG $ <br /> QMEGHANlCAL $ VALUATIONOF.MECHANICAL1NSTALAATION* <br /> [ GAS ROOFING :SPECIALTY:. ; :OTHER. <br /> FINISHED FLOOR ELEVATIONS ELOOD-ZONE AREA :=YES.' j NO. <br /> BUILDER COMPANY <br /> SIGNATURE _ v:• REGISTERED" ::YZ`NhEE'CURRR Y7,N:`;= <br /> Address <br /> ELECTRICIAN'' `COMPANY; ": ti <br /> SIGNATURE REctsTERE� YI aN . FEEcuRaER <br /> Address —.License.#, <br /> PLUMBER COMPANY <br /> GNAT.URE RECIsTEItEti/ Y/;N;,. E,cuaREn. <br /> Address : License#". <br /> AMECHANICAL, CMPO !IX . ;,. : <br /> Y'SIGNATURE 'RE- fibiR Y <br /> Address .r License:.#'. <br /> OTHER. COMPANY'. <br /> SIGNATURE -,: :'FEECURREM1' <br /> Andress <br /> RESIDENTIAL Attach{2):Plbt'Plans;:{2)':sets=:af Building,Plahs::(11):s`etof',EitieNrg ?Forms;R=0=1N:PemilE<fur rsewseoristniction;.' ;.;•.. :Y <br /> Minimum ten(10)working.days after.subniittai.date. Required onsite;:Con§tructionPlans;Stormwater Plans.w/Sift Fence=fnstaiteti;:_ <br /> Sanitary Facilities&1 dumpster;Site.Work Permlt'.fo[subdiAsIgns/large projects <br /> _COMMERCIAL__ _Attach_(2)`_complete:sets-of:Bu!ld!ng:P_lane;plus;a;U6-Saf tl.';0age;:{ljset.of.Energy.Forms:.R-O-WP-ermit-for new_con$tivction._.._,_ <br /> Minimum ten(10)working days"after submittal datd:"Reg6l dd onslte,:Construction Plans;:StiirmWater?Plans,w/Slit.Fenc9 instdit <br /> Sanitary''Eacilities&`1:dumpster.Site:Work;Perrh for all+new,projects:All commercial-requirements must meet.campiiance <br /> SIGN PERMIT Attach(2).sets:of,:Englneered Plans. <br /> `-PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out'appiication 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 notarized letter from owner authorizing same- <br /> OVER THE COUNTER PERMITTING (copy of.c ontract"required)"' <br /> Reroofs if shingles•,. •...Sewers___,-,_._nServlce Upgrades A!C Fences(PloNSurvey/Footage) <br /> Drlveways-Not over Counterif of n"p'bile riiadways::needs;ROW <br />