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s13-780-OG20 City of Zephphills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received . . . . Phone Contact far P.Illng, [(Q)l 3 -7(Z);) -so 3 <br /> Ban . . . . . . . .. <br /> Owner's wi.- -,roaan 46usan 1" Owner Phone Number <br /> ................. <br /> Owners Address 12 Owner Phone Number <br /> Fee Simple Titleholder Name owner Phone Number F— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 15037 oxipre5s 64- I,zh 115 rL 3364iL� LoT# <br /> SURDMSION F PARCEL ISO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CE)NSUI ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME STEEL <br /> DESCRIPT.ON OF WORK J&Z Equal -Ajl Chomc.- CILL+, Q 6om ner#s. <br /> YW F�fp <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> . .ffB. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> UILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =F-LUMBING Is <br /> 16VECHANICAL Ncicp5 .6b� VALUATION OF MECHANICAL INSTALLATION <br /> =C-'.kS ROOFING r7 SPECIALTY = OTHER <br /> FINISHED rLOOR ELEVATIONS FtOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURI- F REGISTERED I YIN FEE CURREN N <br /> Address License# <br /> LECTRICt.AN COMPANY E: <br /> SIGNATURE F REGISTERED I YIN FEE CURREK <br /> Address I License <br /> PLUMBER 4 COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURREN <br /> Address License#F <br /> MECHANIC AL COMPANY JF(0 FP0122rn c' <br /> SIGNATUR.. REGISTERED I Y/N FEOCURREN I Y/N I <br /> Address qq41.A10?kd- Zhill's M5W License#Ica C.OLI <br /> OTHER COMPANY F <br /> SIGNATUR9. REGISTERED Y/N FEE CURRE\ I Y/N <br /> Address i License <br /> RESIDENT'Al. 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,Stonawater Plans w/Sift Fence installed, <br /> Sanitary Facilities,&I clumpster,Site Work Permit for subdivistonstlarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans pies a Life safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten 00)wOrldna days after submittal date. Required onsite,Construction Plans,Stoonwater Plans W/Silt Fence installed, <br /> Sanitary Facilities&i dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PEMUT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> Dkl=tt <br /> Fill ou,application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over=00,a Notice Of Commencement Is required. (NC upgrades over$7500) <br /> Agent(for the contractor)or Pow 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 /> Rercofs if SNIngles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drivft,ays-Not over Counter if on Public roadways..needs Row <br />