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�„-'�u-�'�'C0 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received '� <br /> Phone Contact for Permittin __ <br /> Owner's Name � L 1�� Owner Phone Number �/�v-�/�o�-r���f ��f� <br /> '� Lj�c >: �J � . <br /> Owner's Address ic'_.• Ovimer Phone Number �r�-�r3�C�u�;�,� - ,,J P� - E <br /> Fee Simple Titleholder Name p/J �/�, Owner Phone Number <br /> Fee Simple Titleholde�Addroess ���� � /-�LrJC'f✓� 7��r2..���/-� �',y�L LS �`�- 3 3 5� <br /> �' �1� <br /> JOB ADDRESS � /� �-.i�C1�(1 7�=' ��/i ��/�/-� f'c�/��L L�S . /•�C.. LOT� � � <br /> SUBDIVISION ,�.1� fNZ-/) F'C� ni�"""� PARCEL IDl� �� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1NORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK �AILLDJ� �.�(;�2��/�%�� �� �/c�E�R qG �/V��e ��-L_ (.(,��/U�CY.G� j <br /> BUILDING 31ZE ��-�' X l ?J SQ FOOTAGE O� HEIGHT <br /> QBUILDING ($�' <br /> �Z,��j; �� VAL�ITION OF TOTAL CONSTRUC'�ION <br /> _._.__„ <br /> _ <br /> ELECTRICAL ($—� AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> � <br /> OPLUMBING �� � ������ ✓ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (�'� :!���'�� ��� <br /> �-(�}�� s� <br /> OGAS Q ROOFING Q SPECIALN " ' <br /> 0 OTHER ��i ��, <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> t <br /> BUILDER � �` COMPANY �'X.�.. {�L{,�►-�J <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> l.icense# <br /> PLUIWIBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> License# <br /> MECHANICAL '\ - � � � l COMPANY ' !I�- UK2�j �j ��,..G <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address � l.Z U' S • �s License# �U � �� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �icense# � <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 aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilitles 8 1 dumpster;Site Work Permit for subdivisionsflarge projects <br /> COIYIMERCIAL Attach(3)complete sets of Buildfng Plans plus a Life Safety Page;(1)set of Energy Forms. R-O-W Permit tor new construction. <br /> Minimum ten(10)worlcing days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Perm(t for aii new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW consVucNon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,nota�ized <br /> if over i2500,a Notice of Commencement Ia required. (A/C upgrades 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 Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(Piof/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />