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A13-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> suildiny oeparbrient <br /> Date Rece ived � ' Phone Co�d for PermfUi 70�� S 3 � _� S oy <br /> Owners Name �'� ' C. Owner Phone Number <br /> Owners Address � � 5 . V'�,� `S (� Ovmer Phone Num6er �� }�1 _ � <br /> � �J�l� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS W �� Y L LOT #� <br /> SUBDNISION PARCEL �Di� UL—��Q "2� — QO 1 O"(� � Q Oa' OO � O <br /> (OBTAWm FROM PROPER7Y TAX NOTICE) <br /> WORK PROPOSED e NEw CONSTR 8 ADI.YALT Q SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q OOMM � OTHER <br /> � TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q <br /> DESCRIPT�N OF WORK ��S � ` Ir � <br /> ' BUILDING SIZE SQ FOOTJ4GE � HEIGHT � <br /> QBUILDING S VALUATIOtJ OF TOTAI. CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. f <br /> ,� �, .� <br /> `r» <br /> QPLUMBING $ (� �� � � N <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ���� <br /> QGAS Q ROOFING Q SPEqALTY Q OTHER t' !�CI.�Z/V� ,��� i�J �'�� <br /> FINISHEQFLOORELEVATIONS FLOODZONEAREA QYES NO <br /> BUILDER Cp�/yry <br /> SII;NATURE REC�ISTERED Y! N FEE W RREN Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE RE6lSfERED Y( N FEE CURREN Y/ N <br /> Address License # <br /> PLUMBER (�pMp/y�ry <br /> SIGNATURE REGISfERED Y/ N FEE W RREN Y/ N <br /> Address License # <br /> MECHANICAI �p/Wy �— <br /> SIGNATURE REGISfERED Y/ N FEE W RREN Y/ N <br /> Address License # <br /> OTHER ^� �- "� ���„r C'- C'�nw�u�� � <br /> SIGNATURE V� � ��' ' - '�'�ft�RC D Y 1 N FEE WRREN Y/ N <br /> v ` <br /> �� S 1 �� _ t�+. �7� License # 70.7 <br /> /IIIi1111lllilllllllii111111 IIIIIIIIIIII/fllliltllllllltll{Iltilll <br /> RESIDENTIAL Atiach (2) Plot Plans; {2) sets of Building Plans; (1) set of Energy Farms; R-0-W Permd for new construction, <br /> Minimum ten (10) vwrking days after submittal date. Required onsde, Construction Plans, S[ortnwater Plans w/ SiR Fence installed, <br /> Sani[ary Facilities & 1 dumpster, Site WwkPerm6 tor sub�risions/lartye projec;s <br /> COMMERCIAL Attach (3) complete sets of Buiidmg Plans plus a Life Safety Page; (7 ) set of Energy Fomu. R-aW Permi[ for new construction. <br /> Minimum ten {10) vwrldng days after wbmiUal date. Required onsRa, ConsUuction Plans, Stormwater Plans w4 Silt Fence installed, <br /> Sani[ary Facilrties 8 1 dumpster_ Sibe Work Permd forall new projeets. All commercial requiremeMS must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW construc6on. <br /> Duectio�es: <br /> Fill out application completely. <br /> Owner 8 Contractw sign back of application, rrotarized <br /> IF over 52500, a Notice of CommeneemeM is required. (AIC upgrodes over 57500) <br /> " Agent (for ihe coMractor} or Povaer of Attomey (fa the owner) woukl be someone witfi notar¢ed let[er trom owner authoriang same <br /> OVER THE COUNTER PERMITTING (FroM of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurveylFootage} <br /> Driveways-Not over Counter �f on pubiic madways.. needs ROW <br />