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813-780-0020 City of Zephyrhilis Permit Application Fax-fN3-780-0021 <br /> Building Department <br /> Date Received � —7 <br /> � y Phone CoMact for Permitting �� t c� — � <br /> 1 � � � t � � � 1 1 � 1 1 <br /> Owner's Name —� // �C.�.(� Owner Phone Number <br /> � <br /> . t � � <br /> Owners Address � � � Owner Phone Number <br /> STt%fI�iD � <br /> Fee Simple Tkleholder Name Ownsr Phorn Number <br /> Fce Simpk Tklaholder Address � <br /> JOB ADDRESS �I(p � LOT N � <br /> sueo�wswN �A �s P�ce�ia►�`f�L-�l-DO3a-DU(�DD - G7`��IJ � <br /> (O6TAINED FROM PROPERTY TAX NOTIL� <br /> WORKPROPOSED e NEWCON57R8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK f � c,�L? t,L n , S C�/'C. <br /> BUILDING SIZE 35 /' �� SQ FOOTAGE� HEIGHT <br /> QBUILDING $/ 5 t� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ �L) AMP SERVICE Q PROGRESS ENERGY Q W.R.E C <br /> S /� <br /> QPLUMBING E ^ �(/J <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION ���/ I ( <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ! �� � COMPANY DA�S!/�l.LLTl'I� � <br /> SIGNATURE l�C..� r�cisro�o Y/N �cur�nEn Y/N <br /> Address / c'i �rfi � License# C-GCIJJ��7v�� <br /> E�cTwcuw � coMa�wr �lTc�.�/ � �� � <br /> SIGNATURE REGI5TERED Y/ N t�cuaaEn Y/N <br /> Addreu 3 D � �icense# �/`vDD?S�� 1 <br /> PLUMBER COMP/WY <br /> SIGNATURE REGIST6tED Y/N �cunnEn Y/N <br /> Addnss Lioense# � <br /> MECHANICAL COMPANY <br /> SIGNATURE aECtsra�o Y/ N F�curatEn Y!N <br /> Address License# � <br /> OTNER � COMPANY � <br /> SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N <br /> Addnss License# � <br /> illllllllllllllllllllllllllllllltllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)PIM Plans;(2)sets oi Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Required onsife,Constniction Plens,Slortnwater Plens w/Silt Fence installed, <br /> Sanitary FadRties&1 dumpster,Ske Woric Pertnil for subdivisior�s/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans pus a Liie Safety Page;(1 j set of Energy Fortns.R-0.W Permit for new construction. <br /> Minimum ten(10)working days afler submittal date. Required onaite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sankary Faalities 8 1 dumpster Site Work Permit for all new projecls All canmercial reQuiremerds must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '•"PROPERTY SURVEY required for all NEW construdion. <br /> Direetions:. <br /> Fill out appGcation complelely <br /> Owner&Contractor sign back of applicadon,notarized <br /> I(over:2500,a Notice of CommoncsmaM is roquirod. (AIC upyndes owr 57500) <br /> "' Agent(for the contrador)or Power oi Attomey(for the owner)would be someone with notarized letler from owner authorizing same <br /> OVER THE COUNTER PERMf1TING (Front oi Application Only) <br /> Reroofs H shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />