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i��� <br /> s�saao-oozo ��,���— �`�� City of Zephyrhilis Permit Application '� Fax-813-780-0021 <br /> -� r'�1 Building Department <br /> Date Received Phone Contact for Permitting 0 �3 a� --11J7`77 CID <br /> 1 � � � 1 � � 1 1 1 � i 1 <br /> Owner's Name FYYI� � �,v �--�'� Owner Phone Number <br /> ��GZ��VG� Ls2� O c�.�,�L, r— � <br /> Owner's Address ��5� V!<<� ° Owner Phone Number � <br /> Fee Simple Titleholder Name y Owner Phone Number <br /> Fee Simple Titleholder Address — <br /> JOBADDRESS 3�oSI� �l IQ'�' -'`�I �'"-� '��',-YI'l.� +IS� �. .��� � � <br /> LOT# <br /> SUBDIVISION � PARCEL ID# ��T�°1'�y a"� � C��� � ������ �� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM �J OTHER I� <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIONOFWORK �✓-�Va�-�� �►�`S��I l�t'.� �l = ,j• i✓���'P�V J�,�`+Y-',� C�I✓-� <br /> BUILDING SIZE SQ FOOTAGE � '� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.0 <br /> �PLUMBING $ p'�J� � �� > <br /> (3 <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �p,l.� �� <br /> � V <br /> �GAS Q ROOFING Q SPECIALTY � OTHER �/` <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTEREO 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 `—�� 1"�I�r' �i��T{'�--°�'�"I Gt�� ��C,� <br /> SIGNATURE V CX� REGISTERED N FEE CURRE� Y <br /> ,4ddress 7`f IC"P�'''at���ori�a"f'I Ezr.x;��`�; Ft.-33�`7 �icense# bll�$v�- t-��' !'�� <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <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 Facilities&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 Engineered Plans. <br /> "*'PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over a2500,a Notice of Commencement is required. (AIC 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 />