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e�s-�eo-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received� C 2�/�j—( � t� ! <br /> Phone Contact for Permittin `l pl ���� __ O pj' ��j <br /> Owner's Name 1 '1�� c� � Owner Phone Number <br /> Owner's Address �J' ��� � � ��%. �i, %�� q,�;j Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number �— <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS !H �► t,•��C c�� G I�$ f'G , �.��-/ LOT# `� <br /> SUBDIVISION ` 6�0 1V y �1�'f �"L� PARCEL ID# �:72 ;��o "o�j'O a�(9 (7�O ' p d(7 -- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �2@('A� �a0/�'1 o�a?rX/oZ� =c�G�f �5�. /'/- 'e, � i S �. � <br /> , <br /> tC+"KG�..=`, <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT . —,,,.. <br /> �BUILDING � VALUATION OF TOTAL CONSTRUCTION��9�.�� <br /> QELECTRICAL $ N�A AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ 1� ���{,nS <br /> N.�� ' ,;1 �-t .� <br /> �, ' �� <br /> QMECHANICAL $ N l VALUATION OF MECHANICAL INSTALLATION � � �� <br /> ./ � � � <br /> QGAS Q ROOFING Q SPECIALTY OTHER � <br /> � <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO 'L � �'U`�U <br /> �f <br /> BUILOER � �') � � / OMPANY N v—✓F� �����02S ���_ <br /> SIGNATURE ��7'l/ �'� \ REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address i���y� �3.���6 c,�. H��s.�.�-. License# � <br /> ' ELECTRICIAN . 1 / � 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)Plot Pians;(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,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence instalted, <br /> Sanitary Facilities 8�1 dumpster.Site Work Perm(t 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 constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over E7500) <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 Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />