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, 813-780-0020 City of Zephyrhil s Permit Application Fax-813-780-0021 <br /> ' Buildin Department �J��/� Qb�y <br /> ( ;� �.�l / <br /> Date Received � � �S� � phone Contact fo Permi n �Z� � — � � <br /> Owners Name �r���.{-N�L �p(�N r Phone Number C�{ —3 �3� � <br /> ��5 (��� 5 1 71�'«yR-�a iu, � <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �SS'f I(C TN S"r LOT# ��o� I� <br /> SUBDIVISION Z�I-�y(Z-1-�lu,s PARCELD# ��'u0"Z���V�l)-���'O(�'Q��p� <br /> (OBTAINEO FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CoNSTR� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q' SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q� BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �.CP�./�GL I l7 W�fJ�,�l4J S l�(: ,SI LL �.10f��(M�(,j ����v <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � � <br /> �BUILDING $ I ( �QO VALUATION O TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� <br /> QMECHANICAL $ VALUATION O MECHANICAL INSTALLATION ' NV v� � <br /> � � �� <br /> � �� <br /> QGAS Q ROOFING Q SPECIAL � OTHER �j � � ' � <br /> FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES N � <br /> � ��,�,2 <br /> V� <br /> ���UILDER -CO n�v� I-I� f�`Yz-Fu2n�+e.n��+-' ALL�Ar��k" <br /> //�S�IGNATURE REGIS ERED Y/ N FEE CURRE� Y/N <br /> / livS� S�i`+-�1`��R. ST P�CI�% F� 1 �0 /��- <br /> Address License# 1...�.iC��PJ�J Z-�o <br /> ELECTRICIAN COM ANY <br /> SIGNATURE REGIS ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COM ANY <br /> SIGNATURE REGIS ERED Y! N FEECURRE� Y/N <br /> Address License# <br /> MECHANICAL COM ANY <br /> SIGNATURE REGIS RED Y/ N FEE CURRE� Y I N <br /> Address License# <br /> OTHER COM ANY <br /> SIGNATURE REGIST RED Y/ N FEE CURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllltltlllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding Plans;(1)set of nergy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requ red onsite,Conslruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for sub ivisionsflarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans pius a Life Safe Page;(1)set of Energy Fortns.R-O-W Permit for new construclion. <br /> Minimum ten(10)working days after submittal date. Requ red onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all n w projects.AII commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructio . <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrade over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be s meone 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(PI VSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />