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813-/tlU-UULi� C:iry ot Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received . `J.�- Phone Contact for Permittin � � __ `�' <br /> Owner's Name Owner Phone Number ,( " � " % 3 <br /> Owner's Address Q� � Owner Phone Number C <br /> Fee Simple Titleholder Name Owner Phone Number [_ <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS �S_`�j �,� � �� � �� � ��.�Lh_.� }�'� , l'� ] LOT� � <br /> '—T <br /> SUBDIVISION � PARCEL IDN 3U'p�S � ,�—��r�j- 3�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> INORK PROPOSED � NEW CONS7R 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ,�] SFR Q COMM � OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK m(5��1-2, 1 C's(l�p j('�-�(� 11 <br /> BUILDING SIZE g X SQ FOOTAGE I�� (� HEIGHT �� <br /> �BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> l�,50�, ' <br /> �ELECTRICAL $ �� OG AMP SERVICE a�� O PROGRESS ENERGY � W.R.E.0 <br /> �PLUMBING $ ��Q.C�a � <br /> �JMECHANICAL a��0,O� VALUATION OF MECHANICAL INSTAILATION � � ��j 2'� <br /> � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES �p� <br /> BUILDER � COMPANY �1'?'�� �C--� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��3 o Ji�L,��-� � �� �L33�y �License# � /� <br /> ELECTRICIAN �,��'��(�,(� � COMPANY 1 � t� ��f�C-�'� � <br /> SIGNATURE ��J`J"'"`-' `-- REGISTERED Y/ N FEE CURRE� Y/N <br /> Address rj � {Lt i �����f� License# ��(���j�_ <br /> PLUMBER • COMPANY ��-� C�--�-� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� �r �� rC.�335�� License# �.1-f ��Q a-5��� <br /> MECHANICAL � COMPANY ) I�, <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address , J�`-1 � License# �rT���"�" <br /> OTHER COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address license# C <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)woiicing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilitles 8 1 dumpster;Sfte Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Lffe Safety Page;(1)set of Energy Forms.R-O-VV Permit for new construction. <br /> Minimum ten(101 working days after submittal date. Required onsite,Construction Plans,Stormwater Pians wl Silt Fence installed, <br /> Sanitary Facilitles 8 1 dumpster.Site Work Permit for all new proJects.Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •""PROPERTY SURVEY requlred for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contracbor sign back of application,notarized <br /> If over 52500,a Notice of Commencement ia required. (A/C upgradea 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 ApplicaUon 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 />