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s��-�eo-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building partment <br /> Date Received �1 � (`� phone Contact r Permittin 7�7 SI J _ '�� �q <br /> Ownet's Name Ce 5n`�' �c��5 Owner Phone Number �I3—�-7?—Fsq G � <br /> Owner's Addr�ss �$a 1$ �wo�r� �-csv Owner Phone Number <br /> Fee SimpFe Titleholder Name ��A Owner Phone Number <br /> Fee Simple Titlehotder Address <br /> JOB ADDRESS a�O S� L.a.w c�� L cs c1 �LOT#__ _ �-3, __ -_ -- <br /> _/, ._ _ <br /> SUBDIVISION W��-}ti c5 {�V� H � - —PAR EL ID# � I'`E-a(�-a 1- Q l���O aa c1 d - 4 a-�8 <br /> (OBTAINED FROM PROPER7Y TAX NOTtCE) <br /> WORK PROPOSED e NEW CONSTR e ADD LT Q SIGN Q MOVE �] DEMOLISH <br /> INSTALL RFa? IR <br /> PROPOSED USE Q SFR Q COM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK [� F E Q STEEL Q OTHER �� <br /> ` � p r <br /> DESCRIPTION OF WORK �c o�rc c {�a b��1e YL o�� Y �O r�c/�c. K6 pv+�. l�J� V c�n (c � �(l�e vv�brc.� <br /> BUILDING SIZE SQ FOOTAGE ti 5 Q� HEIGHT �� � <br /> Q BUILDING $ ���0 ��O� VALUATI N OF TOTAL CONSTRUCTION <br /> Q ELECTRICAL $ AMP SER ICE Q PROGRESS ENERGY Q W.R.E.C. <br /> Q PLUMBING $ <br /> Q MECHANICAL $ VALUATI N OF MECHANICAL INSTALLATION � ,51�� <br /> [� GAS Q ROOFING [� SPE IALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLO D ZONE AREA �YES QNO <br /> BUIIDER ��� OMPANY �°`�a�� `ret �c�5.�5, S�^c . <br /> SIGNATURE EGISTERED Y/ N FEE CURRENT Y/N <br /> Address Z�� ���`^�e� �� � C<<�r�.r� � 3��J License# CC�05'1 a 1 <br /> � <br /> ELECTWCIAN OMPANY <br /> SIGNA7URE , e�ISreReo Y/ N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER � OMPANY <br /> SIGNATURE EGISTERED Y! N FEE CURRENT Y/N <br /> Address License# <br /> MECHANICAL OMPANY <br /> SIGNATURE EGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> OTHER OMPANY <br /> SIGNATURE OISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o Energy Forms;R-0-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Fte uired onsite,Construdion Plans,Stortnwater Plans w/Sift Fence installed, <br /> Sanitary Faalities&1 dumpster,Site Woric Permit for su divisions/large projects <br /> COH7�ERCIAL Atiach(3)complete sets of Building Plans plus a Life Saf ty Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)worlcing days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/SiR Fence installed, <br /> Sanitary Faalities&1 dump5ter.Site Work Permit for all ew projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of�ngineered Plans. <br /> """PROPER7Y SURVEY required for all NEW consUu on. <br /> Directions: <br /> Fill out application completely. <br /> Ovmer 8 Contractor sign badc of application,notarized <br /> If over;250Q,a Noti,ce,of:Commericemerrt is required. (A/C upgra over�5000) <br /> *` P�qent(for tFie:coirtradorj`orRower of Attomey(for the owner)would be s meone with notarized fetter irom owner authorizing same <br /> : ,. ,...- <br /> OVER TH�COUN7'ER PERMI77'ING � (Fronf of Application Only) <br /> Reroofs �Sewers --•�Service:Upgrades,,. . PJC Fen s(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs R01N � <br /> - ���.:r <br />