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813 - 780-0020 City of Zephyrhilis Permit Application Fax-813-780 -0021 <br /> Bolding Depamrnard r 2 2 <br /> Date Received • t <br /> Phone Contact for • _ :VOA — �:!e a <br /> owners Name I I Ft 1 c • 1.1..C. Owner Phone Number T � p [�,' , � � j � <br /> x• rf"' :_L_ a r ` • ► Owner Phase Number / O - �� C� <br /> owrtorsAduheas `�i�.i 1 �" <br /> Fee Simple Titleholder Name /LA' 1 Owner Phone Number I <br /> Foe Simple Titleholder Address I <br /> JOB ADDRESS l�/��,.,,� � {, /I�-�� 1 - / d .L / 0 _ , / _IL piii'hi /15 �/��� I i I. / © ) <br /> SUBDIVISION ICY l(1,� 1C l lrl7 PARCEL ID/ y '7� � �-/ • j! Tt. 01X.YD - 1 ,a/ 0 <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN Q MOVE n DEMOLISH <br /> INSTALL I REPAIR <br /> PROPOSED USE' — SFR Q COMM n OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK / n FRAME �j i p STE EL EL ` (r." OTHER <br /> DESCRIPTION OF WORK i dl) J W I /� 1 , ^�r .or ' d' tc4 Ael r epl. SiL <br /> j <br /> BUILDING SIZE 1 I L i x .� / 1 SQ FOOTAGE 1 IR HEI G HT 1 <br /> ©• BUILDING $ P 2/ (/ ' t I VALUATION OF TOTAL CONSTRUCTION 0(4 ul . <br /> ELECTRICAL $ N (� ) / I AMP SERVICE El PROGRESS ENERGY n W.R.E.C. <br /> F kPLUMBING $ <br /> MECHANICAL $ J I VALUATION OF MECHANICAL INSTALLATION <br /> El GAS n ROOFING n SPECIALTY = OTHB2 <br /> FINISHED FLOOR ELEVATIONS 1 FLOOD ZONE AREA F 1YES 10 <br /> � ���Q l /� -- <br /> TU py/'/ //1//////► � 4 _- COMPANY I VI-Er ` UR I NT [ � I N 4 `U_ <br /> SIGNATURE /' /� ? Q i, , REGISTERED FEE CURRENT L� NN <br /> Address I7 NW 3 d A Jauti t ), q Jz y-dyvpita Li cense # 1 1 H - CL�- (1� (p 1 <br /> HL N NATURE �� / /�� -G � / �7- /�GV C�f COM Y PAN SIGNATURE x l / / J' REG PAN N FEE CURRENT (2 N <br /> Address i 3s t i A en Ca , Ze. pllrhl t15 h1 o Lice # 1 t il X <br /> • a911) I <br /> PLUMBER ta24 map 1 Y t er Mo0 0a VW St2- <br /> SIGNATURE /� / 1 r ' ] j <br /> Address 1 4I,1'] N W )D rd Rue- Jev►n"I i 3Z0t3 License # I i /-1- Doco2) I <br /> MECHANICAL ;fL // &42/Ire COMPANY I P 5 Ale_ SIGNATURE // REGISTERED <br /> i_ N FEE CU NT ((Y} N <br /> Address 1 11 A ' . 2 % _I j11k t Z License # L/$ 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED i Y/ N i FEE CURRENT i Y/ N <br /> Address I 1 License it I 1 <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 onsife. Construction Plans, Slonneal er Plans w/ Sit Fence installed, <br /> Sanitary Facilities & 1 dumpster,, Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Bulking 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 subm ttai date. Required onsite, Cansbuction Plans, Stormwater Plans w/ Sit Fence installed, <br /> Sanitary Falies & 1 dumpster. Site Work Pemhi 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 /> E <br /> Fill out appicetion completely. <br /> Owner & Contractor sign back of applcation, notarized <br /> If over $2500, a Notice of Commencement Is required. (A/C upgrades over $9000) <br /> Agent (for the contractor) or Power of Atlomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Driveways-Not e oc a over Counter if Service Upgrades NC Fences (PloUSuvey/Footage) on pubic roadways..needs ROW <br />