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Fr13-780-0020 City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ry� � g Y �y q� <br /> -' �� � Phone Contact for PermitNn d <br /> Owner's Name e J'/ Owner Phone Number i- g'3� 7 g <br /> Owner's Address Owner Phone Number C <br /> Fee Simple Titleholder Name S� �� F, . r i Owner Phone Number � -� <br /> Fee Simpie Titleholder Address `�?� � � �`~ ,�� ,��°���� �=� ,��f�"� � ' ���,� � �j y�y�;? <br /> JOB ADDRESS LOT# �� <br /> SUBDIVISION PARCEL ID# i�� ��/��d <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q �� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK F��nu�O►W� /Qob�- 9�/y`�r�i ,��,�;r:y n v r l' iri-r I� �o e i r Of' 116� <br /> BUILDING SIZE ��l X �y SQ FOOTAGE � � � � �x�sTi r�y l��vm ��G�°by,�r� <br /> �� HEIGHT � <br /> �BUILDING $ /�o o � <br /> � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY O W.R.E.C. <br /> �yo � e Ae. /�a 6/�e, �o a a' 2 C�7�"e. /�in i.��in� Proc/. �o�e.. y�o y, L <br /> QPLUMBING $ <br /> /l�a n �.- Be-tI`e�-6vrl�"v✓inolow� 37xS'� Sin�rl��unr� ProdGad� /635�, /6 <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION :�' 2? �S" <br /> 0 h t'. <br /> ��GAS �i ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS O n � FLOOD ZONE AREA QYES NO <br /> BUILDER f �COMPANY ��//'I � '' <br /> SIGNATURE �� .�y�� REGISTERED Y/ N L FEE CURRE� Y/N <br /> Address ' License# C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C -� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y!N <br /> Address License# � --� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new construcGon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,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 Buiiding Pians 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/Siit Fence installed, <br /> Sanitary Facilities&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. (A!C upgrades over;7500) <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 PERMITTING (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 />