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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 �7c <br /> Building Department X l �� <br /> V <br /> Date Received `��'� �— 3 phone ConlaM tor PermitHn �v� _��� <br /> -TTTT-TTT - <br /> Owner's Name � �` Owner Phone Number J�N4 <br /> Owner's Addreas Q. �a(O[aNrner Phone Number <br /> Fee Simple TFtleholder Neme Owner Phone Number <br /> Fsa Simple Titleholdsr Address <br /> JOB ADDRESS `� � LOT# � � ? <br /> SUBDMSION �a, pQh.�T PARCEL IDd! ��I ' <br /> (OBTAINED FROM PROPERTY TA7(NOTICE) �n�� <br /> WORK PROPOSED e NEW CoN57� 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 � STEE� Q <br /> DESCRIPTION OF WORK "C ,. <br /> BUILDING SIZE � 3� SQ FOOTAOE ��t 9 HEIOHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION �� <br /> DELECTRICAL S AMP SERVICE Q PROGRESS ENERGY W.R.E.C. �l�� <br /> � <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLAT �'1 1 WOO <br /> O�� <br /> � <br /> QGAS � OFING Q SPECIALTY Q OTHER ��_ ���' <br /> t <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> l�' _� ( <br /> BUILDER � �U r1�Q vk(0 <br /> S�GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas S�3 License# � <br /> ELECTRICIAN � COMPANY �%� Z,(�1�� C <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addross � ��� • �J��se# � µ.J�J <br /> PLUMBER COMP ' 1I� l I� r �� Sy� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ,G � 3�s a 3 License# I�T <br /> MECHANICAL /'��: _ COMPANIf �'T�✓1TGV1 �C � � • <br /> SI(;NATURE �'��G REGISTERE� Y/ N FEE CURRE� Y/N <br /> Address �o � �/'ZG ��2 � •��j License# �� � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/N <br /> Address license# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiillllllllllllllllllllllllllilllllll <br /> RESIDENTIAL Attach(2)Plol Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for rrew constructio�, <br /> Minimum ten(10)working days afler submittal date. Required onsite,Construction Plans,Stortnwater Plans w1 Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Watc Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)oomplete sets of Building Plans plus a L'rfe Safety Pege;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum fen(10)worki�g days after submittai date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Santtary Facilities&1 dumpster Si[e Work Pertnrt for all new projects.All commercial requirements must meet canpliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "«`PROPERT(SURVEY required for all NEW construction. <br /> Dlroctions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back ot application,notarized <br /> N ovs►525�,a Nodce oi CommsncemeM la roqulrsd. (MC upgradss ovsr 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized lerier from owner authorizing same <br /> OYER THE COUNTER PERMfTTINO (Front of Applicatlon Onlyj <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/FOOtage) <br /> Driveways-Not over Counlar if on public roadways..needs ROW <br />