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� <br /> s��-7so-oo20 �' j ? � <br /> City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved Phone Contact for Permittin 8/ 3 �� ��__ t� ��� <br /> , p IA � <br /> Owner's Name � NN��\ �/v/E� Owner Phone Number � 1�� � p �� <br /> /555� Li6�irwAVf A2•�?/o C 33�sm � <br /> Owner's Address �NfI�'ll `C. Owner Phone Number <br /> Fq,�r <br /> Fee Simple Titleholder Name � Owner Phone Number � �`� <br /> �.� ��; --- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS "1' � ZE�,N�/jQ,yALLS ; �L ✓?� �S7 � LOT # _! l <br /> SUBDIVISION FIL19NQ �9�?� PARCELID# 03-%��°21'- 0,23C?- Dt�G <br /> (OBT/UNED FROM PROPERTY TAX NOTTCFa <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN � � DEMOLISH ,, , <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK /Y f W LONcS?'�`C/C t fO/�l/ °'° �O �. jv� ��';/Q/YJ`��,� � :'� <br /> r <br /> BUILDING SIZE SQ FOOTAGE 13 1� HEIGHT C���� '`� <br /> �rrT� <br /> �BU1lDING $��� GS�-1 VALUATION OF TOTAL CONSTRUCTION <br /> V � <br /> �ELECTRICAL $ 3 y � o AMP SERVICE � PROGRESS ENERGY � W�.C, ' <br /> ti � <br /> �PLUMBING $ � � <br /> �MECHANICAL $ ��, r � VALUATION OF MECHANICAL INSTALLATlON <br /> •�� <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA �YES NO <br /> -.F-�--�..E-a..a.-.1. <br /> BUILDER CpMpqNY �E/r/N9� /�D/�GS , <br /> ,� <br /> SIGNA7URE REC�sTERED Y/ N FEE cu�N y/[+j ;:� <br /> �`;� <br /> /SSSo 46Nrw ✓f �.?io G'iE�Ru,rrE,t, �c. ��'f g �° (v �'o ;}� <br /> Address „� 7`!) LicenSe # �r3 e !� � <br /> 4 <br /> ELE�TRICIAN COMPANY ��p/JSO/E/' �LfL ��M�,• s ,, <br /> 51GNATURE REGISTERED Y/ N (=EE CtJFlREp Y/ N � <br /> Address /03�{ SKiP %A A, F� 33G1,� �� # t�C D,pO �s' *j �t � <br /> PLU"nocR - COMPANY 8�J IN Pl.{I'N�IB/N IT' <br /> SIGNATURE REGISTERED Y/ N FEE CUt�N Y! N <br /> O�t.�.n�4 63�7 y 1 EW —G.- .� r License t� .w �f �� t T � <br /> , J� � t� <br /> MEr'�"•��CAL COMPANY �A,✓nN�T PZvM.C�sl+R/Lr IJ�{�9T1h1:rs � �+C.- <br /> SIG P '' � E REGlSTERED Y! N FEE C(N�Ek `r j rJ <br /> Ar+-!reas � D•�OX�.308 Fl f��NT L 3�{`7� L'►CefRSB # LAC�s� �p , <br /> OTN�� COMPANY � •S (�} /i4t� i /Qdq��'iA� �NL <br /> SI G '^� REGISTERED Y J N FEE CuRREN Y I N <br /> �' ,5 y�►� SNoAL e.rNF de.vo SPR�N6 flicc Ft 3�Y �I License # C��- L DJ ;.' Q�,� <br /> � <br /> R�'" ' '' L Attach (2) Plot Plans, (2) sets of Building Plans; (1) sat of Energy Forms, R-O-W Permit foT new c�nstruction, ' <br /> Minimum ten (10) working days after submittal date. Required onsite, Constructio� Ptans, Stormwaxer Ptans w/ Sitt Fence ir�laNed t, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects ; <br /> COF""^�^�� ^L Attach 3 com lete sets of Buildin Plans lus a Life Safe Pa « <br /> () P 9 P ty ge, (1) set of Energy Fort»s. R-O-W Pemtit for new consG�3ori. <br /> Minimum ten (10) working days after submittal dais. Reyuired onsite, Construction P{ans, Stonn� Plans w/ S�2 Fe�oe i�ed. ; <br /> Sanitary Facilkies & 1 dumpster Site Work Pertnit for atl new projects. All commercial requ�sairts ms�d meet c�nae <br /> Si�*� ' °°�T Attach (2) sets of Engineered Plans. } <br /> ""'PROPERTY SURVEY required for all NEW construction. , <br /> �..1... � � „�, �` <br /> Dire <br /> F noii��rion completely <br /> � �o� sign back of application, notarized <br /> ' '��", a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " r thF contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner auUeofiizis�g same <br /> OVE^ nU��'ER PERMITTING (Front of Application Only) [ <br /> Rer� `�� Sewers Service Upgrades A/C Fences (PIoVSurvey/Footage) <br /> � <br /> �ys-N�t over Counter if on public roadways..needs ROW <br />