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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> I <br /> Buildi g Department <br /> Date Fteceived �Z " phone Contact f r Permittin �� __ �3 � <br /> Owner's Idame JO$ �l(itl�2 �t�kc.L(,f�f� Owrner Phone Mumber <br /> Owner's 64ddress 3q�� l�����I p L V`Q Owner Phone Mumber <br /> Fee Sim le Titleholder f�a e <br /> P m Owner Phon�fdumber <br /> Fee Simple Titleholder Address ; � <br /> n r._ ' <br /> JOB AIDDRESS 3R�`�9 �/��1,^Jdp � /"�Y'�. ` S LOT# � <br />- 5U�C1bISIORI PARCE �o# i3- ab-�.1-0 fo 0 -mo ocao - omq o <br /> - - (OBTAINED FROM PROPERTY TAX NOtICE)_ __ — _ __ <br /> WOR6(6'ROPOSED B NEW CONSTR� ADD/ALT � SIG�( Q Q DEMOLISH <br /> INSTALL �[� REPAIR <br /> �ROPO�ED USE � SFR Q COMflA � OTHER <br /> TYPE OF COtdSTRUCTIOM BLOCK Q' FRAME � STEEL � <br /> D�SCRIPTIOM OF WORI( /L-{ <br /> BUILDIIdG SEZE SQ FOOTAGE liEIGFiT <br /> OBUILDING $� �/ � VALUATION F TOTAL CONSTRUCTION <br /> �]ELECTRICAL $ AMP SERVI E � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � Zse�� `G��� <br /> � <br /> OMECHANICAL $ VALUATION F MECHANICAL INSTALLATION � ���� <br /> OGAS �, ROOFING Q SPECIA TY 0 OTHER C,�����r� <br /> . ���1" <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA �YES NO ,/� 1 <br /> �r I <br /> �f11�DER CO PANX <br /> SlfsRiATURE REG STERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> �ILECTRICIAfd CO PAMY <br /> SIGFd�4TURE REG STERED Y/ N FEE CURRE� Y/N <br /> e4ddress License# <br /> PLUMI�ER CO PAMX <br /> SIGMATIDRE REG STERED Y/ N FEE CURRE� Y/N <br /> dlddress License# <br /> MIECHAfdICAL CO PAIdY <br /> SIGtdATURE REG STERED Y/ N FEE CURRE� Y/N <br /> Address �� License# <br /> OTHER � ` CO PANY �� <br /> SIGfdATUitE �' REG STERED Y/ IV FEE CURR � Y I I� <br /> Address .J��O o°�_ 2- Q,C License# CC C—� ��Z-- <br /> RESID�MTIAL Attach(2)Plat Plans;(2)sets of Building Plans;(1)set f Energy Forms;R-O-W Permit for new consVuction, <br /> Minimum ten(10)working days after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllitfes 8�1 dumpster;Site Work Permit for s�?bdivisions/large projects <br /> CORIiI�IERCIAL Attach(3)complete sets of Building Plans plus a Life S�afety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> I Minimum ten(10)working days after submittal date. R quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for a I new projects.All commercial requirements must meet compliance <br /> SIGfd PERIIAIT Attach(2)sets of Engineered Plans. <br /> •°••PROPERTY SURVEY required for all NEW constru tion. <br /> Directions: <br /> Fill out applicatfon compietely. <br /> Owner&Contractor sign back of application,notarized <br /> !f over 52500,a Notice of Commencement is required. (A/C upgr des over 57500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would b someone with notarized letter from owner authorizing same <br /> ONER THE COUNTER PERMITTING , , (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 />