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city of Zephyrhi'lls Pemit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received F- Phone Contact for Permitting JA-SbeaL�),6 ttxm dr-�,,Or+m-C-0 <br /> .1 1 1 1 a 1 1 1 1 1 A I I <br /> Owners Name j�y-6-A n c- Owner Phone Number <br /> Owner's Address lMccc)t—T-kAmm 1! ' M001fi-3S 7'Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS XL hifls ft-:33"1 LOT# <br /> j 1 <br /> SUBDIVISION Da ivki��,4AR El.ID# LS- 7-1 6)Tb W2C)C� 6 1 2� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION E:2— BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK <br /> NJ <br /> BUILDING SIZE F- SQFOOTAGE[��P LZZtf4 HEIGHT <br /> . . . . . . . . . . <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> [PLUMBING <br /> =MECHANI*CAL ' 1 VALUATION OF MECHANICAL INSTALLATION 1 H. 0"6 c) <br /> GAS F71 ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> o7l' <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> - - - - - - - - - - - - - - <br /> BUILDER COMPANY 02L*n f nc <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address <br /> License C42 2 <br /> ELECTRICIAN COMPANY (--drc-4-4e - I <br /> SIGNATURE REGISTERED W 'I' FEE CURREN I Y/N I <br /> Address Ax 2kl&y SO4A3 License# I�C,D o 6 <br /> PLUMBER % COMPANY J)D t:: RJUMtIC�$ <br /> SIGNATURE REGISTERED Y/ N I 'FEETCURREN L.]2N_J <br /> Address r�-,t /Om im� a License#F—cFn4z:?- )3T <br /> MECHANICAL COMPANY 0�� '\P, <br /> SIGNATURE REGISTERED V/'N FEE CURREN\JY L N Address 75710 L I -3?qUUu-3 License# Z� US 33 <br /> OTHER COMPANY Irtla !H C 16folcl (�6(s�-Qs <br /> SIGNATURE REGISTERED F FEE CURREN I Y/N —1 <br /> Address 1--+18 kkt� PA+&AW License# I co' <br /> 111011 11 -1141 111 [ 1 ] 111111 111 111 111 111 111111 <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 wl Slit Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy F6iis.R-0-W"Perm' 'It for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/qIlt Pence 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 /> . . . . . . . . . . . . . . . . . . . . . . . . . . . ■ ■ ■ ■ . . . . . . I . . . . . . <br /> Directions: - - - - - - - - - - - - - - - - - - - - - - - - - - - -- <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 Attomey(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 />