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813-780-0020 City of Zephyrhili Permit Application Fax-813-780-0021 <br /> Bufiding epartment <br /> 7ate Received � � ' �/� ��Z _ ��/� <br /> Phone Contact for ermitting <br /> Owner's Name /t /��-N �/�/� Owner Phone Number ���° /b�" ��`� <br /> Owner's Address ���0 �� /l S t H 3� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> J08ADDRESS ��3�0 �� 7�j0/LS / �"�T� �'/7I�C5' ��ST�— LOT# � <br /> SUBDIVISION PARCEL 1 # (/�' �(�' ��- �d`� " dS ��°-�`a <br /> (OBTAINED FROM PROPERTY TAX NO710E) <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT 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 0 STEEL Q <br /> DESCRIPTION OF WORK ( C C(�' 'e' �� J ���� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION O TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ��`� <br /> MECHANICAL $ VALUATION O MECHANICAL INSTALLATION 1 <br /> � C� 9�5 �0 � . <br /> QGAS Q ROOFING Q SPECIAL 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA DYE$ NO <br /> BUILDER COAA ANY <br /> SIGNATURE REGIS RED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAM 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 FEE CURRE� Y/N <br /> Address License# <br /> MECHAPIICAL " � COfN ANY /�I"F��cS l/'D ��LS1fS� l� �N <br /> SIGNATURE REGI ERED Y/ N FEE CURRE� Y/N <br /> Address ?'�'�7� ��E/�� Z /`s' ��� License# ��U"l`� g��s <br /> OTHER CO PANY <br /> SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N <br /> Address License# <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 /> i Sanitary Facilities 8�1 dumpster;Site Work Permit for su divisionsAarge 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. Re uired onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <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 construct on. <br /> Directtons: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement(s required. (A/C upgra es over a7500) -- �� -�--�---�-_- __, . . _, ,,__., ,, <br /> •• Agent(for the conVactor)or Powerof+Attomey(for the,owner)�would be someone wlth notarized le�ter from;owner authoriiing same� :~ „. ?. <br /> OVER THE COUNTER PERMITTING�„ `..�,�„(F�ont�of AppUcation:Only) �. ' ` - . � . - . '' : -,� <br /> Reroofs if shingles Sewers.,.„ :�Ser,vice:Upgrades AJCi , Fences( lot/Survey/Footage) �� `' _ ,- `� ,a <br /> .F . _. . . _..-.e ..�..._.w. , . ..... . �,:> z _'_.--ry .,. ..- _, :� ,-.. � . <br /> Driveways-Not over Counter if on public roadways..needs ROW ` <br />