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uity of Zephyrh,ills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name Inc- I I I 1 2 Owner Phone Number a <br /> Owner's Address 7braWfia Owner Phone Number F <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F_Z�c G' in LOT# 0117 <br /> [NI I olis---Ooao;�t <br /> SUBDIVISION (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT u SIGN DEMOLISH <br /> INSTALL R REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> to DESCRIPTION OF WORK I—S eA <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> _r1r"r 1. 1 a I I I I 11112711AIL <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY W.R,E.C. <br /> PLUMBING 418 <br /> 1$ �4 '& <br /> =MECHAN113AL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . ..4.4— J <br /> BUILDER COMPANY !2C_- <br /> SIGNATURE V REGISTERED Y/ N I' FEE CURREN I Y/N <br /> Address E1,07 -th— License# 1 rRenq(&z I <br /> ELECTRICIAN F COMPANY <br /> SIGNATURE REGISTERED P lecJ i�f - <br /> _Yl N1' FEtCURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEETCURREN 7/N I <br /> Address L Sib HeLb weh ptw% S� 't i0m iia 6[d License#'( CF-C)4 Z�- )3 <br /> MECHANICAL COMPANY OM <br /> !ILO�qq' R-%r- <br /> SIGNATURE REGISTERED YI*N FtECURREI\\J I YIN I <br /> Address o D>51'ey- License# _K:_ <br /> C_633 <br /> OTHER COMPANY 1216000 ?6616 M <br /> S <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN YIN —1 <br /> z.Address License# I cc I? <br /> III III Oil III I I I I I I I I I I I I I I I IIIIIIII III oil 111 11 ,1111 <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/Slit Fence Installed, <br /> Sanitary Facilities&I 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 Foims.'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&I dumpster.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 /> . . . . . . . . . . . . . . . . . . . . . <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 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 Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />