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813-780-002'J City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received l , � 1 , / � � � � __ � �� /� <br /> Phone Contact for Permittin �J <br /> Owner's Name � 1 �(� ' � L� ��1 `) G �1 W�t <br /> Owner Phone Number U I�j - � <br /> Owner's Address F �) ` a� �� St St <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � I�� � 5 � 5 1 LOT # �� <br /> SUBDIVISION PARCEL ID# 1 p� - a � ���� -(�-�C..+� - U O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw CONSTR 8 ADD/ALT � SIGN O � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [� SFR Q COMM C� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK � - +( � (-� S � � �,� <br /> BUILDING SIZE � � g(� FOOTAGE � HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> [�ELECTRICAL � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � ^,.� <br /> .7.. � - ��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING [� SPECIALTY <br /> C] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� <br /> Y/N <br /> Address License # � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> PLUMBER �en COMPANY �e-�l'�\5 �� 1\�� ��5 `1'� <br /> �C IC�L�. ` C-. <br /> 31GNATURE ��-�' �� • C-�� � REGISTERED N FEE CURRE� Y N <br /> Address � , { �OX �) ����� Z - r l � �� 5 '� �j �( ��cense # � r L I LI c � �j �Uc� <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> 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 Pians, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 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, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitles & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet wmpliance <br /> SIGN PERMIT Attach (2) sets of EnQineered Plans. <br />