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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receivedt%y1-�, Phone Contact for Permitting <br /> Owner's Name p a wixeri f= Owner Phone Number d t l/ �t1' <br /> Owner's Address 3'A.s-s) SU` rLi 20s R, 3 Owner Phone Number �sl3 �? ' 00 <br /> 3 b I bl i <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 3 ti Sk S Lt <br /> JOB ADDRESS M P LOT# l `� <br /> SUBDIVISION F PARCEL ID# "'1 n (9 010 - 0 00 0 0 ` U( 13 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK-PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL E REPAIR <br /> PROPOSED USE = SFR Comm 0 OTHER <br /> TYPE OF CONSTRUCTION E:2' BLOCK = FRAME =�STEEL <br /> DESCRIPTION OF WORK P�`� nS3�L (� �- �� �l LU( S lvr C"T0 51 <br /> BUILDING SIZE 1 1 )- ' U\ I SQ FOOTAGE= HEIGHT b$! q if,f ow �� <br /> BUILDING $ S� 0 q VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL $ v AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> EV1PLUMBING $ V,?,m <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY.® OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD'ZONE AREA =YES NO: <br /> BUILDER /\ COMPANY of <br /> SIGNATURE /� REGISTERED / N FEE CURREN /N,-' <br /> 3� 3 A/b i 2 /`�o <br /> Address 3 ��� s� r� License#• .-��T'l.. 6666 L4 <br /> ELECTRICIAN COMPANY <br /> SIGNATUR9 REGISTERED Y/ N. . ',FEE CURREN <br /> Address License <br /> PLUMBER COMPANY �p <br /> :.SIGNATURE �1 REGISTERED N. FEE CURREN /N <br /> Address 3g33'��crrd( � 7 t/° �' `'License# C ,�_ <br /> MECHANICAL COMPANY =: <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> IGNATURE REGISTERED Y/ N. FEE CURRE� Y/N <br /> Address I License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2).sets of,Building Plans;(:1.)set.of Energy_Forms;R-O-W Permit for new construction, - <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work 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 Permit for new construction. <br /> Minimum ten(10)working.days-after submittal date. Required onsite,Construction Plans'Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&'1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERWSURVEY 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 Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for theCcontractor)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 Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />