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813-780-0020 City of Zephyrhilis Permit;Applicatiion• Faz-813-780-0021 <br /> Building Department • - <br /> Date Received <br /> " PC) [t <br /> Phone Contact for Permittin 79,7. ,S Ps,_ <br /> cc:7Owner's Name - G.t t' Owner Phone Number <br /> Owner's Address C i r Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address JOB ADDRESS (0259 &5 UMA <br /> t rl""' LOT# <br /> SUBDIVISION C PARCEL ID# Qa_r9&P - ;R I -0,600 - 0000o <br /> (OBTAINED FROM PROPERTY TAX-NOTICE) <br /> i <br /> WORK'P,ROPOSED, NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED`USE SFR 0 COMM, OTHER i <br /> TYPE,*i.'6 7 STRUCTION Q BLOCK 0 FRAME STEEL Q <br /> DESCRIPTION OF WORK eMoW2- C,C V^" c,SS Ckoo 42S� Or �Pe_ <br /> t3U11 DING:,SIZE._ So FOOTAGE HEIGHT <br /> BUILDING $ , ' /^` VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL is AMP SERVICE = PROGRESS ENERGY' 0 W.R.E.C. <br /> =PLUMBING $ <br /> c ' <br /> =MECHANICAL VALUATION OF MECHANICAL'INSTALtATiON <br /> $ <br /> =GAS = ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER �_ a/ COMPANY LA 3 <br /> SIGNATURE 77JJ�G'''' REGISTERED N FEE CURFER LY/N <br /> Address boat J06,, 94`9 Ucense# I 'lr" C (504 ID5 <br /> ELECTRICIAN COMPANY i <br /> SIGNATURE' REGISTERED Y/ N FEE CURIkth <br /> Address tlicense# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 'Y'/"N FEECURRED' YI'N <br /> Address License# <br /> ,-MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CUi2REn <br /> Address License# I I <br /> OTHER' rCOMPANY <br /> SIGNATURE REGISTERED Y/-N 11 FEE CURREN <br /> Address License#T <br /> 11 /7 E 1 1 1 1 /.1-'i./ / 11 / 1 /,.i-sly tir.l,;l tt l.Ih if=l.;;1,:1>4 / Lwi.:1 rl.l-=tf i .1 .1 / 1 1 i / .t{ CA I i ti .i 1 1.1 / .1 1 11 1 1.1 11 <br /> Attach:(?)Plot Plans; Srf (1:) ergy R-0-W Permit for,new.construction, <br /> ( )sets pQuildfng;Plans, �sat,of En Fomns; i, <br /> Minimumq ten(10)�woilcing�days aRer.subreittal date. Required orlsite,;Construction Plans,-Storm Plans w/'Silt Fence installed, <br /> Sanitary Facilities&_ ,0ifipster,Sita.Work P.erimllt'.fpr Wbdivlsloiislia'rge protects, i <br /> COMMERCIAL. .Attach(2)oorr`iplete sets or-Building"Plans.plus a Ufe`Safety Page;'(1)�det'of Energy Forms.WO-W.Permit for new.construction. <br /> Minimum teri(10j'woricing lays after subniittafdate: Required`on§ite.,,•Con'strudtion Plans,.Stormwater Plans.wl_Silt Fence Installed, <br /> SanitaW Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT AttscW(2);bdts'bf Engineered,Plans. ., <br /> •••'PROPERT,Y,SUR\/EY required forBt1-NEW.construc Uqn. i <br /> Directions: ... - <br /> Flil qut application campietely: ' <br /> Owner&Contractor sigrrt ad,6f.-;ppiicagon;notarized <br /> If'over$2500,ahNotice'of.,Commencementis:requlred..:;(AIC upgrades:over$7500) <br /> Agent(for the contractor)-or'Pohver'ofiAti6meya(for.the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER'PERMITTING' °(copyof contract required) <br /> Reroofs If shingles ' Sewers' " Service.Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Nat:over:Counter if on'publi.G'noadwaW.needs;ROW <br /> 1 <br />