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�� 8�saaaoozo City of Zephyrhil s Permit Application Fax-813-780-0021 <br /> Buildin Department <br /> Date Received g'` � '�g� _ �QC� <br /> Phone Contact fo Permittin <br /> Owne�'s Name� y b� a � I'-� l�1, ir$, Owner Phone Number ��� f 6 � /� <br /> Owner's Address (� � ��►�1 _J�, Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS _�t' �r` G C�i �7 �Ve.°Y�(JA-KS �!L P� LOT# � <br /> SUBDIVISION � PARCEL ID# �� �- �l �a�lJ °Od-Y� -�b8� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> INORK PROPOSED B NEW CONSTR� ADD/AL Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ��-° �v�� e ��� � ��� � Z�-111 J 5`L�I"!") �`-�"' dNj � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING � VALUATION F TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVIC Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ � � VALUATION F MECHANICAL INSTALLATION '� l � / <br /> �, 5� <br /> QGAS Q ROOFING Q SPECI TY Q OTHER 2('�2C� <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO � <br /> BUILDER CO PANY <br /> SIGNATURE REG TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN CO PANY <br /> SIGNATURE REG STERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER � CO PANY <br /> SIGNATURE REG STERED Y/ N FEE CURRE� Y/N <br /> Address L(cense# <br /> MECHANICAL �e ��L�� CO PANY �/2� D F1Ne fi � �T/�� <br /> SIGNATURE � REG STERED Y/ N FEE CURRE� Y/N <br /> Address ��� �� E'� � License# ��� ���� �� <br /> OTHER CO PANY <br /> SIGNATURE REG STERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Bufiding Plans;(1)set f Energy Forms;R-O-W Permit for new construcGon, <br /> Minimum ten(10)working days after submittal date. R quired onsite,ConsUuction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facflities 81 dumpster,Site Work Permit for s bdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buiiding Plans plus a Ufe S�fety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. R quired onsite,Constructfon Pians,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary,Facilities 8 1 dumpster.Site Work Permit for a I new projects.All commerciat requirements must meet compUance <br /> SIGN PERMIT Attach(2)�sets of Engineered Plans. <br /> "'"PROPERTY SURVEY required for all NEW constru Uon. <br /> Directlons: <br /> Fill out appl(caUon completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgr des over�T500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would b someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appiication Only) <br /> Reroofs if shingles Sewers Senrlce Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways-IVot over Counter if on pubiic roadways..needs ROW <br />