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a�s-reu-�x,zu City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Co�tact for PermitNn __ <br /> Owvner's Name (� �� � Owner Phone Number cS( 3���� ' Z-Z('�6 <br /> Owner's Addreaa � 1/�� � �h�� Ow�er Phone Number —� <br /> Fee Simple Titleholdar Name Owner Phone Number —� <br /> Fee Simple Titlehcider Address <br /> JOB ADORESS t �� � TT V� LOT* �� <br /> SUBDIVISION S uv�S c.� PS'�� t S PARCEL ID�I! r v� -�-� ' Z^t- Q�Q� � OQ Q OO- O 4 I� <br /> (OBTAINED FR�OM PROPERTY T�nce)DEMOLISH <br /> 1NORK PROPOSED B NEW CONSTR ADD/ALT [—� SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE [�] SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [—� STEEL Q � <br /> DESCRIPTION OF WORK ��ra aT �� S -�-� h� �C� <br /> BUILDING SIZE SQ FOOTAGE�� HEI(iHT <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION .� y� r] s, O d <br /> QELECTRICAL s AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING s 3� � <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION � � <br /> QGAS R Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE _ rteGis�rteo Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> OTHER C `���� COMPANY ��� ( � �, <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas � �O� �t "�j� �Q.� t�►J'�'o�+J�G1�L.3�s°�.b <br /> License# � C <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 Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Fadiitles d�1 dumpster;Site WoNc Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets af Buildl�Plans plus a LHe Safety Page;(1)set of Energy Forms.R-O-W Permit for new conshuction. <br /> Minimum ten(10)working days after s�mittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facifltles 8 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 /> "••'PROPERIY SURVEY requlred for all NEW construcdon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of appl(catlon,notarized <br /> If over i?.500,a NoHce of CommencemeM is required. (A!C upgradas over:7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone wfth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of AppilcaUon Only) <br /> Reroofs if shfngles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Drivewaya-Not over Counter if on public roadways..needs ROW <br />