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s���so-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building DepaAment <br /> Date Received "� , Phone Cantact for Pemi " � `� / — :� '� `� _ <br /> rr� r7 � <br /> Owners Name (,n . '' T L"T Owner Phone Number .5 v��� +� " y y� y <br /> Owoer'sAddress S C� •Lt�1�r: ✓" �t CY 1-i'� /`'�O`��'Y��� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �� <br /> JOB ADDRESS � � �A L�'t^ J JAk ' LOT # <br /> SUBDIVISION �— � PARCEL IDN �— .xj - rZ / '" U [)/ 4 ' ' � "'t ��' �;; c;:' �) <br /> (OBTAINED FROM PROPER7Y TAX N07�CE) <br /> ri� NEW CONSTR B ADDlALT � SIGN � Q DEMOLISH <br /> WORK PROPOSED r---1 INSTALL REPAIR <br /> � COMM � <br /> PROPOSED USE Q SFR � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �� 7� - i-C .' n S� � <br /> / <br /> BUILDING SIZE <br /> SQ FOOTAGE � HEIGHT � <br /> �BUILDING a��1� VALUATION OF TOTAL CONSTRUCTION <br /> (/ <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ f' 1 n�� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � ( Y/ <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � �COMPANY STFiJ�E S�z6��Un � <br /> SIGNATURE RED V/ N FEE CURREn Y/ N <br /> +a� � n C :3�It✓ �icense# C'1�Cr v�� � F'I � <br /> Address [3� .S rr l-- C r <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> License # <br /> Address <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y! N <br /> License # <br /> Address <br /> MECHANICAL COMPANY <br /> SIGNATURE REGiSTERED Y/ N FEE CURRE� Y/ N <br /> License # <br /> Address <br /> OTHER COMPANY <br /> SiGNATURE r�cis�a�o Y/ N F� curu�n Y/ N <br /> License # � <br /> Address <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1/ <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fortns; R-O-W Pertnit for new construction, <br /> Minimum ten (10) woitcing days after submittal date. Required onsite, Construdion Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Faalities & 1 dumpster; Site Work Pertnit for subdivisionsAarge projeds <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a L'rfe Safery Page; (1) set of Energy Fortns. R-O-W Pertnit for new construdion. <br /> Minimum ten (10) woAcing days after submittal date. Required onsite, ConsWdion Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Fadli[ies & 1 dumpster Site Work Pertnit for all new projeds. 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 complelely <br /> Owner & Contractor sign back of application, notanzed <br /> If over =2500, a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent (for the contrador) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs 'rf shingles Sewers Service Upgrades A/C Fences (PbUSurvey/Footage) <br /> Driveways-Not over Counler if on public roadways..needs ROW <br />