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a�s-�so-oo2o City of Zephyrhilis Perm`it Application Fax-813-780-0021 <br /> . w Building Department <br /> Date Received � �l3 phone Contaci for Permitting ��7 � / °2' — �v �� <br /> Owner's Name �7` ��'E � ��"� Owner Phone Number �� ��N ' f r <br /> Owner's Address �J 4 �z� ��NT'�� �� °���YR���'r' G �Wner Phone Number <br /> �3`s z Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Fee Simple Titleholder Address <br /> JOBADDRESS Jd �'Z'r "`� ���� 4.7� , z��K�'szH�t�� �L ,3'�.Y�.Z LOT# �� <br /> SUBDIVISION w �N�E� ��I�K , PARCEL ID# �� r'2�'Z�~ ���N �'�O'2���'- �r✓O� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN � [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR [� COMM [� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL 0 <br /> DESCRIPTION OF WORK ��C�v£� �L'�� �T� `S�N I��� ���t� '"�E���N� �R, <br /> BUILDING SIZE � SQ FOOTAGEC' " " — HEIGHT (4.1 r ] <br /> �BUILDING $ 3��7 VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> � 3 <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '�/( � <br /> �GAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER / �� COMPANY flLL�1I�Rr,r�,4 L✓�A7',Fl£�2�fi��f,JG �'1 CO d�R� <br /> SIGNATURE ���� � '� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �f2.s�( I(,�T '�iP, �, ��fI�2Gt�,q7�i2 -�L� License# �C C��'�'7���� <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE�—�/N <br /> Address License# � <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 /> Address License# � <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 Pians,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 Plans 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/Silk 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 ail NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> if over$250D,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> '* Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized tetter from owner authorizing same <br /> bVER THE CdUNTER RERMtTTING (Front of Application Only) <br /> �Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoU�urvey/Footage) <br /> � Driveways-Not over Counter if on public roadways..needs ROW � <br />