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a��-�ao-oo2o City of Zephyrhi [nit Application 1 Fax-813-780-0021 <br /> � i ding Department' O� �� //'+�//� <br /> ,/['1 nl <br /> Date Received '��� " ( hpne ConWct for Permitd ) S - �j ss7 <br /> Owner's Name l� t� `��'� �[� � 7'�Z /I/ L—36�� <br /> Owner Phone Number •��p <br /> Owner'sAddress � LZ �{�'e / -Q �l'�• O eJI TiY. p�y�arPhoneNumber <br /> Fee Simple Titleholde�Name Owner Phone Number <br /> Fee Simple Tltleholder Addresa <br /> rosnooRess y33z� �Lo-� Sy" Zt ✓ �� � 3js yZ-- �oT# � <br /> SUBDIVISION PARCEL ID/ <br /> (OBTMIED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NeW CONSTR B ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPO6ED USE � SFR Q COMM O OTHER <br /> TYPE OF CONSTRUC710N Q BLOCK Q FRAME � STEEL � J <br /> DESCRIPTION OF WORK S�1� Se�N r/ p1.� ����,� //1�0" <br /> "I <br /> BUILDING SIZE SQ FOOTAGE� NEIGHT � <br /> �BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $) � '�'O� AMp SERVICE Q PROGRESS ENERGY � W.R.E.C. �°,> <br /> �� <br /> QPLUMBING $ ���,�L(� � S���v� .S�"��- <br /> M � Itl�r'�/ . <br /> Q ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/N <br /> Addreas tk!^�� License# <br /> ELECTRICIAN � D - /,_ COMP/WY "'•� 'eS! /1 E/C �A CQy <br /> SIGNATURE r'""�'� T REGISTERED Y/ N EE CURREl. Y/N <br /> Addresa �z-7 /��l1 'f{1 t Q 'J�a" License# G�ODQ� �Z <br /> PLUMBHR COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Add►ess <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/N <br /> Addross <br /> license# <br /> IIIII11111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Pbt Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)worlcing days afler submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 7 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,Conshuction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facitities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets oi Engineered plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Direetions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> H ovsr 52500,a Notica of Commencement is rsquired. (A/C upgradea over 57500) <br /> " AgeM(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 Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drivaways-Not over Counter if on public roadways..needs ROW <br />