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813-780-0020 City of Zephyrhil,ls Permit Application Fax 813-780-0021 <br /> BOilding Department <br /> Date Received Permitting Phone Contact for <br /> Owner Phone Number <br /> Owner's Name I-A . \\ <br /> Owner's Address Vol *,0V\NGX1L dr "LhINi Owner Phone Number <br /> Fee Simple Titleholder Name F_ Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F_Gq C)4 C\f -qf P h Uf 14� �359AI LOT <br /> ? <br /> SUBDIVISION F PARCEL IDO (-P 61 Cho,'occoo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> F� INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> 1-14-44 1 W-14-41 1111111 111 1 1 4- <br /> LJBUILDING 1$,' VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> [ GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS ZONE AREA =YES NO. <br /> WHHH. <br /> BUILDER COMPANY <br /> SIGNATURE Pau <br /> -YAn -REGISTERED 1t_Y1I*t--1-,-­-FEE CURRFN <br /> *Pr <br /> M�A �iCA b� NA Q �A Address UA ftCA -.License# or N <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED YJ N _ FEE CURREN- lLY1/LN_J <br /> Address Licens0`4 <br /> PLUMBER COMPANY <br /> 4IGNATURE -REGISTERED Y[W J FEECURREN �,LI:LtLj <br /> Address 11dense#, <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED WX -FEE CURREN' <br /> Address -License# F7 <br /> COMPANY <br /> REGISTERED, <br /> OTHER <br /> SIGNATURE �l -Y/-N_-1 FEE CURREN LX,/N <br /> Address Liconse,#=_ <br /> 1 l.!J,H 111 .111111111.-Iti 1 k H 1!1!H Hm t!11 1 H H!1!1 f H!­!111 H!H!11 H H.I. <br /> RESIDENTIAL Attach.(2):,Flot Plans;(2.).sets of;Bulldlng,Plans;(1)setof.Energy.Forms;R-O-W,Permit1or,new,construction,,- <br /> Minimum-tert`(10)workInd'd*&after submitt6l,dite."ReqUir6donsite,Construclion'Plans,8tormwatbr Plans-,w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivislonsfiarge 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 hate:'Required,onstte,Construction Plans,Stormwater.Plans W[Sllt Fence installed, <br /> Sanitary Facilities WI 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 /> •'�f64:iil;ripei;c6it4ii4o;nps,:- <br /> Fill out application completely. <br /> Owner&Contr6otorrsign,back of application,.notarized <br /> If over$2500,a Notice of Commencement is required. (AfC 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 /> Reroofe if shingles Sbwers Service-Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drivewayi-Not over Counter if on public roadways..needs ROW <br />