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s 813-780-0020 City of Zephyrhilis Permit Application �v Fax-813-780-0021
<br /> Building Department
<br /> Date Received Phone ContaCt.for,Permitting. _
<br /> : Owner's NaMb ..: ,. . e ( Z,: _ C r d
<br /> A- © "5• ^�Owner,Phone'Number: •>"
<br /> iTtl
<br /> OwneeiAddress, . t S'' w r:
<br /> L
<br /> . I ' Owner;Phone'Number:" " �',7�� �' f?,'•
<br /> Fee Simple`Ttleholder Name C` e( s�Z o owner Phone`Numti'er..;
<br /> Fee Simple Titleholder Address `
<br /> JOB ADDRESS LOT.#
<br /> SUBDIVISION S > PARCEL ID#,
<br /> (o8TAINED'FRW.PROPERTY TAX NOTICE)..
<br /> WORK.PROPOSED NEW:CONST.R°. < ,.: ::'ADD/ALT Q ' .,,SIGN Q Q . ,-:DEMOLISH
<br /> 'INSTALL: ..e REPAIR.
<br /> PROPOSED USE Q :SFR. Q' COMM,' ',Q OTHER :,f,•
<br /> TYPEOF CONSTRUCTION "BLOCKFRAME" ` Q^' STEEL :.
<br /> DESCRIPTION.OF WORK I �- S G' V•l"�ca �( 1 i�
<br /> BUILDING SIZE:., ..SQ FOOTAGE � �'. �� HEIGHT'
<br /> =BUILDING... Is :VALUATION OF:TOTALCONSTRUCTION
<br /> ELECTRICAL . . $ " .'AMP SERVICE PROGRESS ENERGY.: -; W.RE.C.
<br /> =PL`UMBING' . $
<br /> =MECHANICAL $: VALUATION.OF:MECHANICAC INSTALLATION r
<br /> =GAS = ROOFING Q-,:•..'SPECIALTY =' : -.,OTHER;:.
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES ' ,NO'
<br /> BUILDER COMPANY'
<br /> SIGNATURE REGISTERED ^Y/'N_ ' 'FEE CURRER,, "Y L'N;:
<br /> Address License'"#
<br /> ELECTRICIAN' COMPANY U 4e d
<br /> SIGNATURE 'REGISTERED' 1Y'/-,N''-:' FEE'CURRE�` : : :: Yi/:N";; •a
<br /> -Address ,License#,
<br /> PLUMBER COMPANY
<br /> SIGNATURE , `REGISTERED :..-, Y:/'N: F.EE;GUR17.
<br /> REK.:
<br /> 4
<br /> Address. License.#
<br /> MECHANICAL COMPANY
<br /> SIGNATURE,. REGISTERED. ,Y./ N., FEE.CURRE� '.:Y/N_;
<br /> Address
<br /> OTHER , COMPANY'
<br /> SIGNATURE REGISTERED Y,?1 N " FEE CURREN
<br /> Address: _.:License'#;
<br /> RESIDENTIAL Attach'(2)Plot Plans;''(2)sets of"BuildingPlans;(1.)•set ofiEnergysF.ones;R=O=W'P:ermiYfor new-constnictlon;+:.:
<br /> Minimum ten(10)working.days after submittal date.•Required onsite,Construction Plans,'Stormwater Plans.w%=Silt Fence installed;
<br /> Sanitary Facilities&1 dumpster,Site Work Permit for�subdigisionsAarge projects
<br /> COMMERCIAL Attach(2)complete sets of Building,-•Pians•plus a Lffe:Safety'Page;(1)set of Energy Forms.•R-O-W.Permit for,new constructions'
<br /> Minimum ten(16)working days after'submittai;date"-Required onsite,'Construction Plans;Stomtwater',Plans w/'Si.lf'Fence'installed',
<br /> Sanitary',Facilities&1;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 /> Directions:.
<br /> Fill out:application,completely.
<br /> Owner&Contractor slgn.back of application,notarized
<br /> If over$2000,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 notarizedletter from owner authorizing same
<br /> OVER THE COUNTER PERMITTING (copy-of contraetirequired)
<br /> Reroofs if shingles Sewers' - --Senrice•Upgrades,;A(C -. ...;Fences(Plot/Survey/Footage) ij--•=- --=-s =�•- 1. �K,.-.:..,�,_,_,.
<br /> ;' U:ir•,;:ii',.,.:�'ail r •, [' C�'.':�'',...,Jr, ?:. t::,�.";;:•.
<br /> Driveways-Notovet.'Counter ifonOublicroadways.:needs:�ROWs
<br /> �;.r��-..;. _:,::i."f:i f'�:, , ,. , .. ..- .�4,'.;1' 13 ��•i�lc:.:'^:c i _t..•..;I- ,.. !i`i.•, rh��•, }
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