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ai�-7so-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> / u�� Budding Department <br /> Date Raceived Phone ContactforPertnitti l+' I C <br /> Ownera Name 1 V - � � Owner Phone Number � - � -, <br /> Owne�"s Address C ' pYmer Phone Number � <br /> Fae Simple Titlehddar Name � Owner Phone Numbsr � <br /> Fee Simple Titlehdder Address IV� � <br /> JOBADDRESS ��D� �� � 'M(,` LOTlf �� <br /> 1C�L_�-! <br /> SUBDIVISION �—T�IlL �G„�S PARCEIIDK Z�7-/�p"(,� '��"� I ��� <br /> (OBTAINED FROM PROpER7Y TAX NOTICE) <br /> WORK PROPOSED � NEW CON5TR 8 ADD/ALT � SIGN O � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPEOFCONS7RUCTION Q BLOCK Q FRAME Q STEEL � <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE { i X , � Sq FOOTAGE �� HEIGHT C� � <br /> BUILDING $ � VALUATION OFTOTALCONSTRUCTION � '1��/l L(.0 •�(��� <br /> OC V <br /> �ECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING $ <br /> AECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> Q�S Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �J/ �'/ �`��,��-C'-,�_ COMPANY� .J1N-t FlvlUb� /���Q� <br /> SIGNA7URE (.�1•��(-,� <br /> �.� � � �,�� �a25 �Q <br /> ELECTRICIAN ,/ L j�`/�G'� COMPANY � �L� <br /> SIGNATURE f REGISTERED 1 N FEE CURRE� /N <br /> "`� 1 � ��# �.2pui2�ilU � <br /> PLUMBER / / COMPANY ��"C� (�I��bl( /� G��,i, � <br /> SIGNATURE (i1. �-�� �x__�?VL <br /> REGISTERED �Y71 N FEE CURRE� 4 y�— <br /> "''� L�# 1 N I I�1 SZC t,�—� <br /> MECHANICAL COMPANY LY i!j 'F'� �„ � <br /> SIGNATIRE REGIS7ERED ` N FEE CURRE��— <br /> A�� License# U D I <br /> OTHER �MP� <br /> SIGNATURE REGISTERED Y/ N FEE CURREf. Y/N <br /> �� License# —� <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Atlach(2)Pbt Plans;(2)sets of Building Plans;(1)se}of Energy Fortns;R-0-W Permd for new corutn�ction <br /> Mmimum ten(10)working days after submittal date. Required auite,ConsM�ctfon Plaru,Stormwater p�ans Nr/Sitt Fenc:e installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permd for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets�Building Plans plus a Lite Saf�y Page;(1)set of Energy Forms.R-0-W Permd fa new construdion. <br /> Minimum ten(10)worlcing days aRer submitta�date. Re�ired p�i�e �gt�p�P�� Stormwater Plans w/Sitt Fer�ce installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permil/or all new projeds.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consWction. <br /> Direttions: <br /> Fill out application completely. <br /> Owner&CoMracta sign badc of applicatbn.notarized <br /> M over SZ500.a Notice d Commencamant is req�rred. (MC upgrxJsa over 57500) <br /> " Agenc(ror me cornra�xw)a Power or Anorney(r«u,e owner)wa,ld be some«,e wan naarized�etter fr«n owner ainr�orizirg same <br /> OVER THE COUNTER PERMIT7INC, (Fr«rt of qpp�icatfon Ony) <br /> Rert�ofs'rf shingles Sewers Service Upgredes q/C Fences(PIoUSwey/Footage) <br /> Drivnways-Not over Courker"rf on puW�c roadways..needs ROW <br />