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813-��Za City of Zephyrhilis PeRnit Application Fax-813-780-0021 <br /> ' Buiiding Deparhnent <br /> _ Date Received phone Contact for Pertn(tti ��J ��� ��Z'2 3s �(�, <br /> Owner's Name �4�}Q�t�/� ���lTpi+ �.Ci� YR6�116�$► Owner Phone Number t7��� 88� � �L � <br /> Owners Address 'o� Ga�. L3�.vp. ?.�f't ���u. L Owner Phone Number g5�' 3�3`'�6�'� <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �Yd���►�.L. �1.V�• �LPN Iehll�,r � 3a��� LOT# � <br /> SUBDII/ISION PARCEL IDq <br /> (OBTAIf�D FROM PROPER7Y TAX N0710E) <br /> WORK PROPOSED e NEW CONS7R B ADDlALT Q SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER a <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL [� <br /> DESCWPTION OF WORK �'`�`Oh ri 'rQ7 �fL�'p1� � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> OBUILDING $ �j� � VALUATION OF TOTAL CONSTRUCTION <br /> �r <br /> QELECTRICAL $ AMP SERVICE Q pROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> ! <br /> ,�y�, r . <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ���'w''�6�� UM� <br /> � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER ��3�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> BUILDER � / COMPANY <br /> SIGNATURE r�cls�teo Y/ N F�cuw�En Y/N <br /> Address License� � <br /> ELECTRICIAN COMPANY <br /> SIGNAILRE �c�s�R� Y/N �cuR�n Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE aEGIS�RED Y/ N F�cUw�n Y/N <br /> Address License# <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGIS7ERED Y/ N FeE cuRaF1. Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISIERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIItt111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit fw new construction, <br /> Minimum ten(10)working days after submittal dete. Required onsite,Consduction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary FaGNtles 8 7 dumpster;Sfte Work Permft tor subdivislons/large proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Sefety Page;(1)set of Energy Fortns.R-O-W Pertnit for new cnnsWCtion. <br /> Minimum ten(10j woricing days efter submittal date. Required onsite,ConstrucNon Plans,Stormwater Plans w!Sfit Fence Installed, <br /> Sanitary Facilities&1 dumpster Site Work Pertnit far all new projects.All commerciai requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY required for ali NEW construction. <br /> Directlons:• <br /> FII out applicadon completey. <br /> Owner&Coniractor sign back of application,notarized <br /> If over 52500,a Nodce oi Commencement Is required. (AIC upgrades over 57500) <br /> " Agent(for the contrador)ar Power oi Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front ot Appltcetion Onry) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootaga) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />