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s�3-�ao-oozo City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Building Depa�tment <br /> Date Received ' - (�(3 �� �� - s3� <br /> Phone Contact for Permlttln <br /> Owner's Name ��/e �ri"�llQ`J�f Owner Phone Num�e� ��` '"��f/ <br /> Owner's Address 3�� °L L�C�`r � ' Owner Phone Number � <br /> Fee 5impte Titleholder Name Owner Phone Number <br /> Fee 5imple Titleholder Address <br /> JOB ADDRESS •��D�-o�- LC�C�J X� � �� Ze /`�(,(�J � LOT# l�� <br /> SUBDIVISION �'!Cc �GG �j�-�J PARCEL ID# �7 'a-G -02�-'d�c�(� -(�(X,�'�- /S/�p� <br /> � (OBTAINED FR�OM PROPERTY T�T�CE)DEMOLISN <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR a COMM � OTHER <br /> TYPE OF CONSTRUCTION [� BLOCK Q FRAME [-� STEEL [� <br /> DESCRIPTION OF WORK CS(J�I %(,Q/7? ��p� � C(t/� �/^T� <br /> BUILDING SlZE �S� x S�o2-- SQ FOOTAGE S�� HEIGHT —] <br /> �BUILDING $ /� �/�O Ov <br /> �/ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> � P'��F'ERMIT 3ERy1�� <br /> PLUMBING g F��3?788-5�14 <br /> MECHANICAL �4"�4 <br /> � $ VALUATION OF MECHANICAL INSTALLATION � „ 1�� <br /> /ll <br /> OGAS Q ROOFING Q SPECIALTY � OTHER G����/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES N ?' �' J ` <br /> BUtLDER ` r <br /> ,���� ,�`�t� `�`� COMPANY S!,[_/) cI� /�-� , '7"� (� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �i l.T y � ' ,�(�t {��! Z-� ,f License# �— —� <br /> ELECTRICIAN �� r�� � � � � COMPANY /YId/-�0% �UC7��G� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address P. 0 . V�JY �.5�7 Z-'�C License# � � <br /> PLUMBER � COMPANY ��7 �"CCC/�D//r <br /> SIGNATURE REGISTERED Y/ N FEE CURRE Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding 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 installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building 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/Silt 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 Englneered Plans. <br /> "'«PROPERTY SURVEY required for all NEW construction. <br /> �ir�r� <br /> ■T��1Tf11T1111�11�111re�� <br /> ��.ai�u11 1 1J11i 1 LLLLI7 <br /> Direct�ons. <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> "' Agent(for the contractor)or Power of Attorney(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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />