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1 Fax-813-780-0021 <br /> ` 813-780-0020 City of'Zephyrhi€€s PetTnit Application <br /> Building Department <br /> Date Received ' <br /> Phone.Contact.for Permitting - <br /> r� <br /> Owner's Name _ '' Owner Phone Number T" <br /> Owner's Address . /1 A n0 f Ze .-Owner Phone Number : <br /> Fee Simple-Titteholder Name f Owner Phone,-Number. - : <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS KE; LOT.17 <br /> # .. . . <br /> SUBDIVISION �' PARCEt:ID# <br /> (OBTAINED.FROM PROPERTY TAX NOTICE). <br /> WORK PROPOSED NEW CONSTR ADDIALT. SIGN. 0 . CJ- - ::DEMOLISH. <br /> e INSTALL 8, REPAIR.' <br /> PROPOSED USE [ SFR Q COMM. .-: : OTHER.. <br /> TYPE OF:CONSTRUCTION _-BLOCK �_ -FRAME' '. 0; :STEEL •0; <br /> DESCRIPTION OF WORK 1 4 - <br /> BUILDING-.SIZE 3Q FOOTAGE HEIGHT`:.. <br /> BUILDING.-. VALUATION OF TOTAL.CONSTRUCTION <br /> ELECTRICAL - �$ AMP SERVICE Q PROGRESS•ENERGY- <Q R:E:C. . <br /> OPLUMBING �--�- <br /> =MECHANICAL ($ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY,.[ OTHER <br /> FINISHEDFLOOR'ELEVATIONS FLOOD ZONE,-AREA .[ YES: NOAH <br /> .BUILDER G COMPANx.+ -. V <br /> SIGNATURE f;; f/1� REGISTERED. Y/:.;N ';•.'. . ::FEE cu(R''RE�; <br /> Address . License.#.¢':.. <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE REGISTERED. Y L N : FEE CURREN ;YY N. - <br /> A ddress License# C <br /> t?lt1MBER COMPANY <br /> SIGNATURE REGISTERED Y/'W FEECURREh . Y 1 N::. <br /> Address License#' <br /> MECHANICAL, COMPANY <br /> EGITE l,,N FSIGNATURE ) EE CURREA' <br /> Address License#: t. <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y:!`N :`FEE CURREn` <br /> Address. License#_ <br /> :RESIDENTIAL Attach.2},_P..IotYRlans;:(2)'sets''of:Builiiing Rlans;(1;)set:of;Energy Forms;;R=01NPemiit tor:new ipn'stru'iction;.. <br /> Minimu►n ten{10}working ifays:after submi$2t date:=i2equir'ed:oriSI%`Cbiiste ictiori Piaris Stormwatet,plans=wl Siit i=erice.lnstalted"�: <br /> 'Sanitary.Facilities&`1.dumpster,S1teW&k:Permit for subdivisions/large projects: <br /> COMMERCIAL Attach'(2)complete sets,of:Building Plans'plus a Life<Safety;;Page;;,(1)set.of-Energy;Forms:R-O-W;P.ermlt.fornew:constructiori::.,, <br /> Minimum:ten:(10)working days after=sutirrttttal:date: Rettulietl onsite,ConstrucOan Plank., tdtmvrc ter:Pians°wl$Itt Fence iristaiieit; <br /> Sanitary:Facilities&I durltpster.Site Wod(Perrhltforall new.'project§.All commerclal requirements must meet compliance <br /> SIGN PERMIT Attach(2}setsofEngineeted Plans.. <br /> ****PROPEfkTY:.StjkV,EY required:foralt'NEW construction. <br /> Directtons: <br /> Fill out applica6an.compietely. <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;Attomey(for the.owner)would be someone with notarized'letterfrom owner authorizing`same <br /> OVER THE:COUNTER PERMITTING' .� .:`.(copy:of contract required) <br /> Reroofs if shingles' :Sewers ServiceUpgrades':A/C, ` Fences(PIdNSurvey/Footage) <br /> Driveways-hibl over Counterlf on public roadways..needs ROW <br /> I <br />