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s13-780-0020 City of Zephyrhiil � Permit Application '; Fax-813-780-D�� <br /> Building epartment ' <br /> _ ,� <br /> �ate Receieed ' Phone Contact for ermitting -- <br /> Ovuner's Mame ��'�1��/ L( � ' I�LG�vS Ovvner Phone Plumber � `� '' �����U� <br /> I rn <br />� Ourner's Address (��Z a � ►V � —S G� � � Own�r Phone fdumber <br /> IFee Simple Titleholder Name Owner Phone Number ,.-•• <br /> I , - }� <br />� - <br /> Fee 5imple Titleholder Address � <br /> JO�ADDRESS "!� ( � S' LOT# � <br /> SUBDIbISiON PARCEL 1 # <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PFiOPOSED USE Q SFR Q COMM � OTHER <br /> TYPE.OF CONSTRUCTIOPI � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �� J �S��A I� C 6.�► (2 U 1 1 L I (/�t n�C�-L� S w� <br /> BUILDItdG SIZE SQ FOOTAGE FIEIGHT <br /> �BUILDING $ VALUATION F TOTAL CONSTRUCTION <br /> � <br /> DELECTRICAL $ �� �� AMP SERVIC � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � /J <br /> � �v <br /> OMECHANICAL $ VALUATIOfV F MECHANICAL INSTALLATION �, <br /> l`J _ / <br /> :� l <br /> �� � : <br /> OGAS Q ROOFING Q SPECIAL Y 0 OTHER <br /> FIfVISHED FLOOR ELEVATIONS FLOOD NE AREA �YES NO <br /> BU!l.DER CO P6aCdY <br /> SIGfdATURE REG�TERED Y I N FEE CURRE� Y/N <br /> i <br /> Address License# <br /> ELECTRICIAN \ CO PAfdY � � u.� �o� GL�G ...��+C <br /> SIGIdATl7RIE REGI TERED Y/ N FEE CURRE� - N <br /> Address P•�. a ,� '$'( � � �icense# Gg/ ? <br /> PLUMiBER CO PANY <br /> SIGNd1TURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHAfdSCAL � � 1 CO PAMY ��� .��r�5 �v17� CG1f7��fin� �LC <br /> SIGMATURE � REGI TERED Y N FEE CURRE� /N <br /> Address ��1�� [�"'ir�Cc� �/�rf� 1�6� � � � License# c!��.1��7��� <br /> OTHER CO PARlY <br /> SIGNATURE REG STERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDEPfTIAL ' Attach(2)Plot Plans;(2)sets of Building Plans;(1)set f 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 Facilitfes�1 dumpster;Site Work Permit for s bdivisions/large projects <br /> COIlAMERCIAL Attach(3)complete sets of Building Plans plus a Life S fety Page;(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 Facilities 8�1 dumpster.Site Work Permit for al�new projects.All commercial requirements must meet compliance <br /> `'SIGN PEPiMIT Attach(2)sets of Engineered Plans. <br /> °'""PROPERTY SURVEY required for all NEW constru tion. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgr des over�7500) <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 PERMIITIMG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />