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�"-��w,c'1u City of Zephyrhiils Permit Application Fax-813-780-0021
<br /> 8uflding Department
<br /> Dats Received �-. U — •i7
<br /> J` Phona Contact for Permittin � � �_
<br /> Owne►'s Name � � � � �p JjJ (p Owner Phone Number g 3 ��, (p ,�,S�
<br /> Owner's Addreaa � 1 � �v,�' �(�� p�er Phone Number
<br /> Fee Simple Titleholder Name �
<br /> Owner Phone Number
<br /> Fee Simple Titleholder Addreas
<br /> JOB ADDRESS � U J� �
<br /> � � LOT�
<br /> SUBDIVISION PARCEL IDAt i` -'u�'�I�O��'V D?-dc�-�pUp J
<br /> e (OBTAINED F�RO�M PROPERTY T��E�pEMOLISH
<br /> kVORK PROPOSED NEW CONSTR 8 ADD/ALT �� SIGN
<br /> INSTALL REPAIR
<br /> PROPOSED USE Q SFR Q COMM � OTHER
<br /> TYPE OF CONSTRUCTION Q BLOCK [] FRAME [—� STEEL [�
<br /> DESCRIPTION OF WORK R L �� � � '�
<br /> BUILDING SIZE SQ FOOTAGE C� HEI(3HT
<br /> �BUILDING �� �
<br /> VALUATION OF TOTAL CONSTRUCTION
<br /> L]ELECTRICAL � AMP SERVICE
<br /> Q PROGRESS ENERGY [� W.R.E.C.
<br /> OPLUMBING s
<br /> I �„�,�t`�-��s A-tu��l< �ir� rK�-�'�
<br /> MECHANICAL �j."`. (�iJ Z L l,�`�'r��L-e� .Ur
<br /> O S VALUATION OF MECHANICAL INSTALLATION G<'PN y r��lI S 3�`�l 2
<br /> OGAS Q ROOFING Q SPECIALTY � OTHER / �?(�
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � l
<br /> E
<br /> BUILDER \ r'1%•,
<br /> SIGNATURE � l J COMPANY �,.:.��'�?)l�✓
<br /> REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address Ucense# �—
<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
<br /> License#
<br /> MECHANICAL COMPANY
<br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License#
<br /> OTHER COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License# �
<br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bu(Iding Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
<br /> Mfnimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary FadllUes d�1 dumpster;Site Work Permit for subdiNsions/large projects
<br /> COMMERCIAL ABach(3)complete sets of Building Ptans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction.
<br /> Mi�imum t�n(10)working days after submittal date. Required onsite,Construcdon Plans,Stortnwater Plans w/Stlt Fence installed,
<br /> Sar►ltary Facilities�1 dumpster.Site Work Permit for all new projects.All commerci�l requirements must meet compliance
<br /> SIGN PERMIT Attach(2)sets of Engineered Ptans.
<br /> •'•"PR07'ERTY SURVEY required fpr all NEW constructlon.
<br /> -------- �„n��,�,,,r,��„�......�.
<br /> DlrccHons
<br /> Filt out applica8on completely.
<br /> Owner 8 Contractor sign back oi application,notarized
<br /> If over S2S00,a Notice of Commencement is required. (AIC upgradea over 57500)
<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 ApplicaUon Only)
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) , ,. .._,.. .r...,e,,,,,,,,,,,,,r„„.,,.,,.„,„,,,,
<br /> ' , ,� , r
<br /> Drivewaya-Not over Counter if on public roadways..needs ROW �• �
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