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813-780-0020 City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Building Department <br /> '��v tk`'�- <br /> Date Received �a ��y � �� Phone Contact for PermiWn v�/ !�7� -. Cc� � � <br /> Owne�'s Nama � �(�/��Y(_ Owner Phone Number Q�3 " �1�! � 0 ��3 7 <br /> � � r <br /> Owners Addresa � �� � R � Owner Phone Numbet � <br /> Fee Simple Titleholder Name Owner Phons Numbsr C <br /> Fee Simp�le Titleholder Addresa <br /> JOB ADDR�:3S 3��f y � .m�X.�d LOT* �� <br /> SUBDIVISION PARCEL IDf! <br /> (OBTAINED FROM PROPERTY TA1X NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM [� OTHER .v�-2- _. tj✓w.-�• <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q [ <br /> DESCRIPTION OF WORK �"'d'�- ��� � � f'.�.v-- ,(_.�ls��.¢� <br /> BUILDING SIZE � SQ FOOTAGE C� HEIGHT � <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> �� i ��G <br /> QELECTRICAL ($ —� AMP SERVICE Q PROGRESS ENERGY �] W.R.E.C. <br /> �—_ <br /> QPLUMBING $ '�/,��„�' -�?� �-.--.. <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATI��V �S Z°� � � " ' ���� <br /> � .�-� ,.:� � <br /> y��....:- <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER f '+~ � �3 '�2.. b 3 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER j \ , �� �(1� ��'COMPANY Q.t.:�.� Q1t1Z� '�9-a�.J��%� <br /> SIGNATURE �� �� REGISTERED Y I N FEE CURRE� Y/N <br /> � Address License# C <br /> '�,+ ��. <br /> ELECTRICIAN �� _ ,1 ,q � COMPANY .�t..X��u11+-.+'� � 4S� <br /> SIGNATURE �-�-X-x-��� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <br /> �� ��PLUMBER ry ,, J �� � ., COMPANY � Y i �� �/� ' <br /> SIGNATURE �'t'1'�"'-`'�L REGISTERED Y/ N FEE CURRE� Y/N <br /> Addresa � \% License# C_ <br /> , �j� ` �.�S c <br /> MECHANICAL �. �� � COMPANY =?.�Ltz y _.1c�� ��X l�- ry �=-� <br /> SIGNATURE �� ��- �`�" REGISTERED / N FEE CURRE� Y/N °�� %��� <br /> i � <br /> Address � License# C <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buliding Plans;(1)set of Energy Fonns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlides 8 1 dumpster;Site Wo�lc PeRnit for subdivlsions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortris.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwateir Plans w/Silt Fence installed, <br /> Sanitary Fadtltles�1 dumpster.Site Work Permit for all new projects.All commerc(al requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '"""PROPERTY SURVEY required for all NEW construcdon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicatlon,notarized <br /> If ove��2500,a Notice of Commencement is requlred. (AIC upgrades over t7500) <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />