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8�8-�so-oozo City of Zephyrhilis Permit Application .��..��/ Fax-813-780-0021 <br /> Building Deparlment � � <br /> Da�e Recei�red Phone Contact fo�Permittin 8l3 35�5 __ /95 <br /> Sv�I/Q/SE PROPE 7iEs oF , Q <br /> Owner's Name �.,c � S /nlc. ' Owner Phone Number (/�.3��88'�9/D <br /> 6 2O FT K/�G � � <br /> Owner's Address ZE�Oµ ��/L,�d' ,s 2—2 So�Z Owner Pbone Number <br /> Fee Simple Titleholder Name /Y.r/� Owner Phone Number � <br /> Fee Sfmple Titleholder Addresa • �' <br /> JOB ADDRESS ��i�O /CT• 7���✓G � • �J�/LL S��L ,335�Z LOT# C� <br /> SUBDIVISION PARCEL IDM O3'".Z�D�Z I—OOOO " D�OOp—QQ�Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL �� <br /> Co Sr�ev o <br /> DESCRIPTION OF WORK S/ ��p� <br /> BUILDING 31 Z� �X�3��"fOf� gQ FOOTAGE E 6A HEIGHT ] �i2�/7%i/G SP� � <br /> BUILDING $46��0O�, 00 VALUATION OF TOTAL CONSTRUCTION X/S7�n�G BUf/�E�t <br /> .L <br /> oP�.sTa.✓ <br /> QELECTRICAL $P�JE#Z TB AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> ' �E GEC?le1C� PLU�h6/.✓G� � �1ECyA�✓/�9 C., TD !3E /QG'1//�'4/Ed <br /> OPLUMBING $ G»� f3OPRo%9L NotJ� �DqJEV.ER. A//CG BE �,��!/7'TE.A <br /> �/h9.s�E�Z T6.D, �4�' LA�'� �OA7� <br /> �P�s�#Z�I E, v�/i7-�#�,z, +�3 <br /> OMECHANICAL a VALUATION OF MECHANICAL INSTALLATION � <br /> P�s��z,:�a. �; 2 ��� <br /> OGAS Q ROOFING Q SPECIALTY � OTHER �Z- /I,'�iG <br /> FINISHED FLOOR ELEVATIONS 0 . � FLOOD ZONE AREA QYES NO � S�"�, (�� <br /> o vE �s S49BS � �2��.��`��J �t f(P��.. <br /> T <br /> BUILDER �/ �A� Q• qC� <br /> � COMPANY B��K Co•�/s'T,e�/c�a.d', //✓C. <br /> SIGNATURE !(,/, ,�� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 3903� GT�e�� e�,�. zE/�!lY/�/�11�5'�FL .3,�5 Z License# ��.C.. ���6�� <br /> S G ATURE N ��'�' � ���`� �Z R�M�Np Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> PLUMBER ��� /J ��, ,�� .f/-Z COMPANY <br /> SIGNATURE �� Tr REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> MECHANICAL ��� Q /� ��� �Z COMPANY <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER �D COMPANY <br /> SIGNATURE ��'�� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL AtNach(2)Piot Plans;(2)sets of Buflding 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,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadliUes&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Bufiding Plans plus a Life Safety Page;(1)set of Energy Fonns.R-O-W Permit for new construcdon. <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Conshuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for ail new projects.All commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW constructlon. <br /> Directlons: <br /> Fill out applicatlon completely. <br /> Ovmer&Contractor sign back of applicaHon,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over:7500) <br /> •' Agent(for the contractor}or Power of Attomey(for the owner)v�rould be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon 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 />