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s�saso-oo20 , . City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin �� 3 y �G . 0 3 d3 <br /> Owner's Name � F N N AI'� � D N� FJ Owne� Phone Number 7il 7 7' %"�/ �� <br /> Owner's Address <br /> �SS'SO L,� 6NT�,vq vE •#t C � ERRpaR �6 Phone Number �— � <br /> Fee Simpie Titleholder Name Owner Phone Number �— � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �/N QERL L/V Z E/H �t�litL�S , FG 33 S�D LOT # �3 7 <br /> SUBDIVISION E�� pN� PQk �iF PARCEL ID# 03 "��P – °Z �— <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK /VFhI �O/VS'l/� T/On/ '� V/LL/�IS <br /> BUILOING SIZE � SQ FOOTAGE D� HEIGHT S6L S�� <br /> �BUILDING $� � oo VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ 25� 1 � O AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PlUM81NG $ � rC ' OQ <br /> J7 <br /> �MECHANICAL $ 2 22Q � VALUATION OF MECHANICAI INSTALLATION <br /> .� <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS O O O FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY LENNA�- /'�j� OMES <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address � SSS� L�i A✓E �. �?/0 GLf1y�IV �L 3J7�� License # CG�i �.5� 8�1s (o <br /> ELECTRICIAN COMPANY ���"JONSoN ELf�'��C .�NC � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address /03'y SK///�E D. ��i M A jL �3G/ License # EG000 �579 <br /> PLUMBER COMPANY J� v✓ PG V/�/J �NG <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address `$27 N E L 93578 �icense # CFC O.Z / s0 O <br /> MECHANICAL COMPANY BA�/ONfT �✓�'�6�NG/ nF�ltlNG � � /¢C <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address p •�OX S30 �A e,�Fr��Nr <c ��` License # C9C �S 8 0 6 �- I <br /> OTHER COMPANY C STERL�N�' (//QL/ IZOO�F�NL/ .ZNC� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address y�// .9J10A UNE BLVD SPR�Nf N/G( F `0'7 License #� l. � C � J` 7 9 g� <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> 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. <br /> Minimum ten (10) working days after submittal date. Required onsite, Cor.s?n�ction Plans, Stormwater Plans w/ Silt Fence i�stalled, <br /> Sanitary Facilities & 1 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 /> Directions: • <br /> Fill out application completely <br /> Owner & Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement (a required. (A/C upgredes 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 (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on publiC roadways..needs ROW <br />