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813-780 -0020 City of Zephyrhilis Permit Application y, q q 3 Fax -813- 780 -0021 Building Department - �1 i `1 Date Received / 0 f "13 CiO32 ®/ � Phone Contact for Permitting 1 . . :1. :.:::: h ?3eie ?. :.33i3iii3...:.3 3��3 ?:::.1:::.: :3d3.3.•.:: :::: • a...� ::::::........: • m::i: �:: :. '3a ?: ^03 "....n.:::r_::: :: ?:3:..: :3:m::3::3:a::i:q:. Owner's Name 1" Fly 1 S l L 1 \/ fl t Owner Phone Number 13 — 1 1 1 p - 3.33q �f a i 1 O Owner's Address Li 9 3 th ST J Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address re (� JOB ADDRESS � 1 -1 3 q Sth S T. LOT # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I MOVE I I DEMOLISH • INSTALL REPAIR PROPOSED USE I I SFR 1 1 COMM I I OTHER I I TYPE OF CONSTRUCTION I ((I.�{� � BLOCK I FRAME I I STEEL I I OTH �,,/ I DESCRIPTION OF WORK ‘ `J tail L a/iI/I 0f" a ow vo L'�(e 13UR�&L-� a 0424' BUILDING SIZE SQ FOOTAGE HEIGHT Itti €€tttEt €fiitt €g € €€tit€Mifi fait €€€€ €fi 1041€ €fftffi€€ €tttgtft€ € €€l€€E EMNII fit€✓ t €iitt € i€ €11€€€ BUILDING $ VALUATION OF TOTAL CONSTRUCTION V_ I ELECTRICAL $ as .00 AMP SERVICE I 1 PROGRESS ENERGY I I W.R.E.C. I I PLUMBING $ ` I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 GAS 1 1 ROOFING 1 1 SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES 1 INO ii i €iiiti iiiiil € 33 [.iii• is f(i€f ':: iiii migtiiii pi .:::::i.: r::: : :: .m:as . ...::::: i p , "1 ?33." .......... i. ......... i3 • ...i I : .. v ............. ..... i ?• ?? :...........i °i 3.ii °.i.. BUILDER COMPANY SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N I Address �� License # ELECTRICIAN _ { 1 COMPANY 1 LLG SIGNATURE "� / !' 1 REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I Address 1 5 set:014 1D. 0(ttP), 5;054 License # e61 29 PLUMBER COMPANY SIGNATURE REGISTERED 1 Y / N I FEE CURRENT I Y/ N I Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # OTHER COMPANY SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y/ N I '' Address I — -- - - -- -- — ._. -_. -- - - -- i License # — 4htiiiit€t€tai€if3€ll}af fit - E€ € €I €€fiik €€tl EIRRtf€i€i:y:. t t € ' . k t [ R i g f E ff i l i l i t i i i t t € € :::::::::.. . :r :.. :. :,:•::r. ^ :::' €i ( :rm i i . fffb:.. . : : . r • . . . .. . :... •r: €fti Ni °.. .... ,. .. _ . ' i€It € €f€ RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ****PROPERTY SURVEY required for all NEW construction. i€f€€€ii INIERf €€ ifs€ € € € €€MitI €i €€€€ Ii E €€i€i€€€ € MEREEMt tom€ Directions: Fill out application completely. . Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW