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813-780-0020 City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 3 � 7� %y Phone Contact for Permittin p/3 �f 3 __ <br /> Owner's Name � �j// • � �� Owner Phone Number �/ '�,,�l�d <br /> Owners Address : � �� 7 ,ft�or�t/ 4 ,�( y.?/ p�er Phone Number �_ <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS � D �� T. Z� � J !•� �! /CL 3�,�y LOT# �'���y�.{ <br /> SUBDIVISION PARCEL ID# �� '�(f�"�I 'Q��O -'Q,r�j�D "' Q/,3� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEI Q <br /> DESCRIPTION OF WORK /'1 DG�t" ��1�� � � � GJ„L�j ��.�- !� ,ej�„/ ��p�-i� <br /> BUILDING SIZE $Q FOOTAGE� HEIGHT <br /> QBUILDING $ �/o VALUATION OF TOTAL CONSTRUCTION <br /> QELECTR►CAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �2 �.�✓ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> � N�`- <br /> OGAS �� ROOFING Q SPECIALTY � OTHER � ae� � <br /> � �� �FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTEREO 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 � C� \ COMPANY //'/ ��(.U'Os.�l 6�d ��✓�- <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ^ � P �7'�! L.�� � /�j��i/�Z f�j License# ��C-�yyJ�7U � <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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities&1 dumpster;Site Wo�lc Permit for subdivisionsflarge 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,Constructfon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit 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 construcUon. <br /> Directions: <br /> Fili 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 57500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of AppUcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />