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813-780-0020 City of Zephythilis Permit Application Fax arrrou <br /> Building Department <br /> Date Revert ed Phone�C-Ontamt for Farman, <br /> .9-in" Number owner Phone Number <br /> Ownees Nam Pyman, KerrvifTamm <br /> Owners Address Phone Number <br /> Fee Simple Titleholder Name owner Phone Number <br /> Fee Simple Tedeholderr Address <br /> JOB ADDRESS 13-73a2 Laur-t- 1 HaMMOe% br LOT.9 <br /> SUBDIVISION [C- u n PARCEL ID111134-ab-Q i-01-3o-00000-OW-3- <br /> (DirrAmEn FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN 0DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER I <br /> TYPE OF CONSTRUCTION M BLOCK = FRAME STEEL <br /> DESCRIPT.ON OF WORK U 0-&1 r)(16 0 L - , Q fit <br /> BUILDING SIZE I SQ FOOTAGE HFjaKTE= <br /> .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL i(S AMP SERVICE Q PROGRESSENERGY W.R.E.C. <br /> =FLUMBING is <br /> MECHANICAL 1$02`35- M VALUATION OF MECHANICAL INSTALLATION tt <br /> =C.,kS ROOFING Q SPECIALTY = OTHER <br /> FINISHED wLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURA REGISTERED I YIN FEE CURREN <br /> Address License 9 <br /> ELECTRICON COMPANY = <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/N <br /> Address License <br /> PLUMBER COMPANY F <br /> SIGNATURE REGISTERED I Y/N FEE CURREN LljNj <br /> Address License 9 <br /> MECHANIC AL COMPANY lbafir,6 <br /> q4-11-MAdhIT Rip Gas fficnNt, <br /> SiGNATUrZ I REGISTERED Y/ N CURREN IN I <br /> Address L Zi 6 ;5 License I rww-V 9 <br /> OTHER 1 COMPANY F- <br /> SIGNATURE REGISTERED I YIN FEE CURREN L_YLN J <br /> 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 ton(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence Installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdMstonsffarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Softly Page;(1)set of Energy Forms.R-O-W Permit for now construction. <br /> Minimum ton(10)working days after Submittal date. Required onsits,Construction Plans,Stormwater Plans w/Wt Fence Installed, <br /> Sanitary Facilities&I durn0ster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERh1rr Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> 1_._.._. <br /> ' ' * . . . * ' 6., 2 o o . . . . . . . . . . . . . . <br /> Direct <br /> Fill ou!application completely. <br /> Owner&Contractor sign back of application.notarized <br /> If over$2500,a Notice of Commencernent,ft required. (A(C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)Would be someone with notarized letter fromowner authorizing spine <br /> OVER THE COUNTER PERMITTING-. (copy of.con"gi requi") <br /> Rerooftifs-lingles Sewws 'SenioiiUpgradesA/C FenoestPlot/Survey/Footage,. <br /> Driveways-Not over Counter it-on public r6adways.'needii-RO <br />