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s�3-�so-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � Phone Contact for Permittin _ <br /> Owner'sName c �Ci.1iC. i-1 l''} '�{i OwnerPhoneNumber g13� ��(Q ' <br /> Owner's Address (� " � ' Owne�Phone Number .3� �"h2.. � �j • <br /> Fee Sim�Je Titleholder Name Owner Phone Number �2� ��i�� � <br /> /'ti <br /> Fee 3i�ile Titleholder Address !J /} <br /> /��. <br /> JOB ADDRESS S�S� C'�.'.\I ��tCj ' F �'� � LOT# � <br /> SUBDIVISION PARCEL ID# '2� � Z` " - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK I �'l D t�� Io2�T�Of' Q(,�}' " � �(V'tl,rj(, �, � I <br /> -� <br /> �• .�' <br /> BUILDING SIZE ��Z� X 27� t� �J2�� SQ FOOTAGE ^-Z HEIGHT Z ,nc.ke <br /> �BUILDING $ .,. <br /> �..�(1L . C c� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING $ �1�I�y � �)/�(//j'�r���7 <br /> /�V C.�1 <br /> ! �,�p��'� '" <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �OdQ !/" ' <br /> . ,;��c'»� Su�.`'` <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER ���Dr 'C 7�''e ��`� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES N r�K�n <br /> � � � ����`/-� �����1� <br /> s' '1 GS c.vi1,'�iZ <br /> BUILDER � . , � �� COMPANY <br /> StGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ����A UAar. i3�,.`J �=Pr(Y�rIrtCS ft ���4Z License# �— <br /> ELECTRICIAN COMPANY <br /> SiGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <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 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 Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Fadlities&1 dumpster;Site Work Permit for subdivisionsflarge 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 instailed, <br /> Sanitary Facilit(es 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMI7 Attach(2)sets of Engineered Plans. <br /> *`"'PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application compietely. <br /> Owner 8 ConVactor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> •' Agent(for the contractor)or Power of Attomey(for the owner)would 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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />