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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 2 '� l��3 <br /> Tr_�_r Phone Contact for Permittin 7 Z Z 5 2� - �L 2 <br /> Ownel's Name �ONl� ��N �/�tf� Owner Phone Number ��,S <br /> Owners Address Jr 0 2�1 {�p� S'� z G � � 5��ner Phone Number '"— <br /> Fee Simple Titleholder Name Owner Phone Number �� <br /> Fee Simple Titleholder Address <br /> JOBADDRE33 SOZ I �� 5"T, ZE�N ,k�{(L(J' �;I3S9'Z LOT# C� <br /> SUBDIVISION PARCELID# l� - z6' Z�-d0j0 -Z120Q C7�If�Z <br /> � (OBTPJNED�PROPERTY T�ncE)DEMOLISH <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK 17�r/I/�yjJ� Rt.`�$Gt- Zo //1/GGU � ,QydF 71L[(Sli� �cL/iU�i �'�, W / �� <br /> BUILDINO SIZE SQ FOOTAOE l a���o HEIOHT I 1 � <br /> �BUILDING 3 ..1 J,7� VALUATION OF TOTAL CONSTRUCTION a��� ' �f��� <br /> !rJ <br /> 11 ELECTRICAL $ //Q G�, AMP SERVICE /SO Q PROGRESS ENERGY Q W.R.E.C. <br /> V 7 <br /> �PLUMBING $ , <br /> 7�7 G, C�s� ��r��N� F x-r�.a�,�) � ,,fC,�+� � � <br /> �IECHANICAL $ / �G 7 VALUATION OF MECHANICAL INSTALLATION �`� ����,n��� � <br /> {D � <br /> r�, r 2�,.�_ <br /> QGAS � ROOFI SPECIALTY � OTHER �, � <br /> J � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ���-`-�` ����z' <br /> � e `�� <br /> SIGNATURE 1.,�'�� � COMPANY ��QI(� Y�C`S70`LA'lfd� SC4WICC���N� <br /> REGISTERED Y/ N FEE CURREN Y/N <br /> �►dslress �43� f�2• M-L.. ��NG J� � .'J �t, �+- -' �=t, �3"703�icense# C'.��' OS�/Zt/ <br /> (�� h ll�;�X t� ,�, -- � <br /> LECTRICIAN � ��, � COMPANY <br /> 16NATURE � REGISTERED Y/ N FEE CURREN Y/N <br /> tij�' 78c'��"z� <br /> Address <br /> ------- - License# �-- <br /> PIUMBER ��J�} ` COMPANY <br /> SIQNATURE REOISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> License� <br /> MECHANICAL rl ' COMPANY <br /> SI(iNATURE REGISTERED Y! N FEE CURREN Y/N <br /> Add�_ - ------- License�F • <br /> �j(��� - -- - - --- ----- <br /> OTH R h t/c COMPANY <br /> SInON,ATURE REGISTERED Y/ N FEE CURREN Y!N <br /> /���� � <br /> Address <br /> License�k <br /> 11 IIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111 � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)seffi of Build'ing Plans;(1)set of E�ergy Forms;R-O-W Permit Tor new construction, <br /> Minimum ten(10)worldng days after submittal dete. Required onsite,Construc6on Plans,Stormwater Plans w/Sik Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Atfach(3)complete seffi ot 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 submitfal date. Required onaite,Construction Plens,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Faalities&1 dumpster Site Work Permit for all new projecls.All commeraal requirements must meet compliance <br /> SION PERMIT Attach(2)sets of Engineered Plans. <br /> "'•PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completety. <br /> Owner 8 Contractor sign back of application,notarized <br /> H ovar 52600,a Notice ot Commenceme�rt is required. (A/C upgrades over 57600) <br /> " Agent(for the conhactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authoriring same <br /> OVER THE COUNTER PERMITTINO (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Dtiveways-Not over Counter if on public roadways..needs ROW <br />