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a�s-�eo-oo2o City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received g (p /j Phone Contact fo�Permfttin � a y3 __ � 3 <br /> Owner's Name L//�Q /u�A Owner Phone Number ��� ' ?! � � l�3 3 <br /> Owner's Address S�� �D ��E� Owner Phone Number �— <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> J06 ADDRESS S�f a / �Y �`tY�' , JV�� 8 � LOT# / �� °t � <br /> SUBDIVISION PARCEL ID# �/"a� " � � �d�� ` f O Q� " Q�?D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT Q SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK RD6flW �~�� � ' -SlNbca` �� p�j�cJ CQD �f�/6 ��Nb(-� <br /> BUILDING SIZE � SQ FOOTAGE a T 0� HEIGHT ��� �J��� � � <br /> QBUILDING S Z �� � VALUATION OF TOTAL CONSTRUCTION <br /> v<J� <br /> QELECTRICAL �� AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> �PLUMBING $ �j, i,/�� <br /> �f <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER //��/� COMPANY l��!Z� ���`tlsr D � <br /> SIGNATURE �(—� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 7 �2 l3 �-C' �� � � ��f � License# ` �� 2 <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)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimwm ten(10)wo�icing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllitles&1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pem►it for new construction. <br /> Minimwm ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Faciflties&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet wmpliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '""'PROPERTY SURVEY required for all NEW consVuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor Sign back of application,notarized <br /> If over 52500,a Notise of Commencement la requlred. (AIC upgradas over 57500) <br /> •' Agent(for the contra¢tor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER P�RMITTING (Front of Application Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PfoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />