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813-780-0020 City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �3 5 _ _ / 3Z L <br /> Phone Contact for Permittln ! <br /> Owner's Name � - �ull!'I ner one Number � �" 7 g�"�� f D <br /> Owner's Address �s� '�- ���� ��- '3 � t4 Z Owner Phone Number <br /> Fee Simple Titleholder Name �EN'�'' �����L-r4"!�/��`� Owner Phone Number —� <br /> G sw �. ,�>.vc �e� 2-.�, L "�T 33 s z <br /> Fee Simple Titlehotder Address - T <br /> JOB ADDRESS � s� �� � � ��� �-C� �!� � `��/ �� s "�L 3 S �� LOT # � <br /> SUBDIVISION PARCEL ID# � 3-2� - z �- a n o � -�/Od L� � O D dl� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT 0 SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK 5 ���.G ��R�G G (/'}/e�i4G �'% <br /> BUILDING SIZE �? I '� 4 � O�' �� SQ FOOTAGE 3 C , �� HEIGHT �` � I��Z � <br /> [�BUILDING $ �D� � � VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � � �' f Z� ��� <br /> � �t� �J�. 4 70�! <br /> o �J�� � � <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' <br /> �GAS 0 ROOFING Q SPECIALTY � OTHER .�Se / 5��� r � �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � ��/I'ZG�J� <br /> ������ � <br /> BUILDER �,/ �.. COMPANY ������ P�f��� 1�C <br /> SIGNATURE �� �� REGISTERED Y N FEE CURRE� Y/ N <br /> Address G��� Y' /.�J �G '�jj. 2-it.'/�) -�' L .3 5 4 Z License #"— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y! N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <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 Worlc 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, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 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 $2500, a Notice of Commencement is required. (A1C upgrades over a7500) <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 PERMtTTING (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 />