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s�s-�ao-0ozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building DepaAment � %/� � <br /> Date Received � r ��I � �– gO <br /> Phone Contact for Permittln �� <br /> Owners Name (/ � ` ' Owner Phone Number ' "' � <br /> OwneYS Address � � � r Owner Phone Number <br /> Fee Simple Titleholder Name Own Phone Number <br /> Fee Simple Titleholder Address ~ � <br /> JOB ADDRESS �.J � r � l0T# C J uZ ;� <br /> SUBDIVISION /�!� � PARCEL ID# C �' � �i ' " C� G � '" � � <br /> (OBTAINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED e NEW CANS7R 8 ADD/ALT Q SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL � <br /> DESCRIPTION OF WORK I S� C-L- -! ��G S J S! � T ��� G�� <br /> BUILDINGSIZE �� , �i t � SQPOOTAGE �f(' HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I � � �G, GC <br /> QELECTRICAL $ �� r � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING $ / - , �. � � l (� <br /> QMECHANICAL $ ,V VALUATION OF MECHANICAL INSTALLATION �v � <br /> � U � a-` ..� � <br /> OGAS Q ROOFING Q SPECIALN Q OTHER � �'� <br /> � <br /> FINISHED FLOOR ELEVATIONS ' FLOOD Z�E AREA QYES i NOi <br /> �(� h �� <br /> \�'X � l <br /> V � <br /> BUILDER ' � COMPANY <br /> � /7�11c� <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y/ N <br /> Addrcss � License # C �� �- l� �� �' ��� <br /> ELECTRICIAN /� � A COMPANY �_ <br /> SIGNATURE ��/ . REGISTERED Y I N FEE CURFEN Y/ N <br /> '��� License # <br /> PLUMBER /�� � COMPANY —� <br /> SIGNATURE �`� .� REGI6TERED Y/ N FEE CURREN Y/ N <br /> Address L�cense # �y�,/ <br /> � u �„�,- <br /> MECHANICAL COMPANY n lGt�,' <br /> SIGNATURE �/�� -� REGISTERED Y/ N FEE CURREN Y/ N Y J Q� <br /> ra._ � <br /> Address License # � K' � <br /> OTHER G �, l � 1 C L L:.. �� i C O M P A N Y H I S '�' '` 7 �"' � y' I[ S �n ,� 1 \� <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y/ N �`''� <br /> Address [.� �- ' /� –*f.i�� � � � License # S � e � � CiJ 3 � b `� 1 <br /> ������������������������������������������������������������������� l,�a �- <br /> RESIDENTIAL Attach (2) Plot Plens; (2) sets of Building Plans; (1) set of Energy Forms; R-0-W Permit for new constniction, s �., <br /> Minimum ten (10) working days after submittal date. Required onsite, ConsWdion Plans, Stwmwater Plans wl Sdt Fence installed, �-•_J) _ <br /> Sanitary Facilities & 1 dumpster; Site Work Partnd for subdivis�ons/large projects \��� <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Lrfe Safety Page; (1) set of Energy Forms. R-0-W Pertnd for new consWction. <br /> Minimum ten (10) working days after submittal date. Required onsite, ConsWction Plans, Stormwater Plans w/ Sik Fer�e mstailed, <br /> Sandary Facilities & 1 dumpster Site Work Pertnit for all new projects. All commercial requiremeMs must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans <br /> ""'PROPERTY SURVEY required for all NEW construction. <br /> 1••• •� Vi• 1 1 1� li..l <br /> Directlona. • <br /> Fill out applicetion completely <br /> Owner & Contrador s�gn back of applicat�on, nMarized <br /> If over 52600, a Notice of Commsncemant is roquired. (AIC upgrades over 57500) <br /> " AgeM (for the contrador) w Power of Attomey (fa the owner) would be someone with notarized letter from avner authorizing same <br /> OVER THE COUNTER PERMITi1NG (Front of Application Only) <br /> Reroofs 'rf shingles Sewers Service Up�ades A/C Fences (Pbt/Survey/Footage) <br /> Driveways-Not over Counter iF on public roadways..needs ROW <br />