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�,..p ( �`;�`�` <br /> • 813-780-0020 City of Zephyrhiils Permit Application Fax-813-780-0027 <br /> Bwlding Department <br /> ' Date Received `�(7 r� phone Contact for Permitting ( ) <br /> 1 1 1 1 1 1 1 1 --- I T! i 7 -- <br /> Owner's Name �dLJ e� Owner Phone Number <br /> Ow�er's Address �W p ,/V (,v�� Owner Phone Number r <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titlehoider Address <br /> JOB ADDRESS I \j 1� a LOT # � <br /> SUBDIVISION PARCEL IDK `-[ '"�� C*� `�Q -CJp � -C.rj <br /> (OBTAINED FROM PROPERTY TAX NOT1C� <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK r � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ /�\ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> �11J <br /> / - <br /> �PLUMBING $ <br /> �MECHANICAL y VALUATION OF MECHANICAL INSTALLATION �/ ��� � � <br /> � <br /> �GAS Q ROOFING Q SPECIALTY O OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISiERED Y/ N FEE CURREN Y 1 N <br /> Address License A� <br /> LECTRICIAN �J'� COMPANY I(� ,Q,/13 �(,(�� <br /> IGNATURE ^ /' � REGISTERED Y/ N E CURREN Y/ N <br /> � Address L (,"(,I�, j �-Y License ��` wa.� �—� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address <br /> License R —� <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address <br /> License 0 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y! N <br /> Address <br /> License �k � <br /> 1 1 1 1 1 I 1 1 1 1 1 1 I 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 t 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (t) set of Energy Fortns; R-0-W Permit for new constniction, <br /> Mi�imum ten (10) working days after submittal date. Required onsite, Construcfion Plans, Stortnwalet Plans w/ Silt Fence installed, <br /> Sanitary Facilfties & 1 dumpster; Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAI Attach (3) complete sets of Building Plans plus a L'rfe Safery Page; (1) set of Enerpy Fortns. R-O-W Pertnit for new construGan. <br /> Minimum ten (10) wortcing days after submittal date. Required onsite, Construdion Plans, Stormwater Pians w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster Site Work Permit 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 /> I 1 � • <br /> Directwns. • <br /> Fill out application completey <br /> Owner & Contrador sign badc of application, notarized <br /> If over 52500, a Notice oi Commencement is required. (A/C upgrades over f7500) <br /> " Agent (for the contractor) or Power of Attomey (fw the owner) wnuld 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 (PIoVSurvey/Footage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />