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s�s-�so-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ��`�L phone Contact for Permittin O�3 - <br /> Owner's Name �i�� �� '4" - Owner Phone Number �, Z J �j��U� <br /> Owner's Address �a0 3 �� Owner Phone Number � <br /> Fee Simple Titleholder Name N /� Owner Phone Number <br /> Fee Simple Titleholder Address i p <br /> JOB ADDRESS �J � 3 � J LOT# � <br /> SUBDIVISION �— PARCEL ID# I�a�f/ " �r ' D O ' I 1a f�v - C�D7 D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �l/LL-g"f'ff � � �C�. f� � D�X �FO 1 �C� ��-- <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> OBUILDING $� �'� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �2�/ ��� <br /> `(- <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLAT�ON �C�,�2✓ Pro re�s <br /> �`( n�.��- <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER � <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO �(3`1i6� <br /> l <br /> BUILDER ` COMPANY �d(,U �C�i /� (� <br /> SIGNATURE ' REGISTERED Y/ N FE URRE� Y/N <br /> Address 7"� � �� � License# �C �� <br /> ELECTRICIAN �\� f �.. � ,��l COMPANY �Q ✓:G.�, <br /> SIGNATURE �� ��"��r V�. REGISTERED Y/ N FEE CURRE� Y/N <br /> Address a �{ License# �C�3C� t3 S 3 <br /> PLUMBER � ' COMPANY ` <br /> SIGNATURE REGISTERED Y/ N FEE RRE� Y/N <br /> Address ��C � (,J License# �P�. /�S�"�/3 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> -� <br /> Address License# I <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)wo�lcing days after submittal date. Required onsite,Construction Pians,StoRnwater Plans w/Silt Fence installed, <br /> Sanitary FacillUes 8�1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buflding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)workfng days after submtttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt 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 i2500,a Notice of Commencement is required. (AIC upgrades over;7500) <br /> +�. .�.��a,,,,�, <br /> " Agent(for the con ,p�„P,�wer of Attomey(for the owner)would be someone with no rized letter from ownet'°�OUNDr3lfag�. <br /> wa. ,1Y., <br /> OVER THE COUNTER ERMITTaNG {Front o'�p�p�'�tltl <br /> Reroofs if shingles �veFs. Service Upgrades A/C F ces(Plot/Survey/Foot e) , �, <br /> Driveways-Not ov Counter if on,public i�o�dwdys,,nAekilt F,tp � �,,,,�., �='� <br /> ,w.:.,,�,,, <br /> ,,. . ,.� , i.. _w <br /> �'� .�'y- - <br /> . «a�w'w.y�a,.�x�rox«;-. <br /> "�.� x <br />