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City of Zephyrhifis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> srves <br /> Owner's Name Owner Phone Numbs; <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Vumft' <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 2XIX air x M--CN 9\ rr1 1 LOT# ' ry� f IPt- <br /> SUIBOMSION la>if V-C:a�C') PARCELI <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR M ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE SFR rnmm <br /> TYPE Of CONSTRUCTION = BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK IU&C A: ,% <br /> - —7 C L <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT <br /> UILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> 92PLUMBING Is goo T <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> mom moo on 1141.4-111.4 .1 4.1.1. <br /> ZLIRLOMER COMPANY <br /> SIGNATURE REGISTERED I YIN I FEE CURREN LILNJ <br /> Address License# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Ljj N J <br /> Address License#I I <br /> PLUMBER COMPANY <br /> SIGNATURE -kl-&iifERED IF "-FEECURRIEN- LILN J <br /> License# <br /> MECHANICAL COMPANY <br /> Y/N FEE CURREN L J <br /> SIGNATURE REGISTERED E= <br /> Address i License J77L LN <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address j License# <br /> IIiIIIllllllllllllllllllllllllllllllilllllllllllllllllllllllllllIII <br /> mbitoemn,nt. Attach(2)Piot Plans,(2)sets or burning Plans;(1)set or hnergy I-orms;H-U-w Permit tor new construction, <br /> Minimum ton(10)worWng days after submittal date, Required onsits,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsilarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page:(1)set of Energy Forms.R-OW Permit for new construction. <br /> Minimum ten(10)warldrig days after Submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpstar.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> ,64,1641 11 11 . . . . . . . . . . . . . . . . . . . . <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600.a Notice of Commencement Is required. (AC 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 required) <br /> Reroofs if shingles Sewers . Ser%Aoe Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways-needs ROW <br />