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e�aaso-oozo City of Zephyrhil s Permit Application Fax-813-780-0021 <br /> Buildin Department <br /> Date Received Phone Contact fo Permittin -- <br /> Owner's Name �-G ��TN//l�r� Owner Phone Number <br /> Owner's Address 3 �7 Z 3 �&���()� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titlehotder Addreas <br /> JOB ADl5RES3 � �T�� ��OG'L���� LOT# � <br /> SUBDNISION GV�i�a-(�;�(I� PARCEL D# � "�"`� ,LO –rOOB�rV�--��� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROFOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL � <br /> DESCRIPTION OF WORK ����" �1 w���7" ������� /LI/iilS/Q��L .�/�/��� <br /> BUILDING 31ZE SQ FOOTAGE HEIGHT <br /> OBUILDING a ���Q VALUATION F TOTAL CONSTRUCTION <br /> [�ELECTRICAL $ AMP SERVIC Q PROGRESS ENERGY [] W.R.E.C. <br /> QPLUMBING a , �� <br /> J � <br /> QMECHANICAL a VALUATION F MECHANICAL INSTALLATION �� <br /> OGAS �ROOFING Q SPECIAL 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD NE AREA QYES NO ��p?'� <br /> BUILDER CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER CO PANY <br /> SIGNATURE REGI TERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER C�� CO PANY ���N /�-�'���� <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address �� Q�X l 3�p-� �%},�� �'!� � License# L�D�/p,�y� —� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadBties&1 dumpster;Site Work Permit for su divisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Sa ty Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. R uired onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all ew projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW construc on. <br /> Directions: <br /> Fill out application compieteiy. <br /> Owner&Contractor sign back of application,notarized <br /> If over i2500,a Notice of Commencement is required. (AIC upgra es 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 shingies Sewers Service Upgrades A/C Fences( IoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW = <br />