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$�aaeo-oozo City of Zephyrhil�s Permit Application Fax-813-780-0021 <br /> , Buildin Department <br /> Date Received Phone Contact fo Permltting• � -. <br /> Owner's Nacne �fl GL/Ta�� `c� � �J�L46q/I Owner Phone Number ���7� -- <br /> Owner's Address � ' •P,J1 � .d!) � � � Owner Phone Number <br /> Fee Slmple Titleholder NaQne Owner Phone Number - <br /> • I � <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS � ^(�� ` � I <br /> � �I � _ .5-'�� � LOT# aa� <br /> SUBDIVISIOM gr�a I '� -�R}�l�eS PARCEL�D# —� �. -�0�D-� (?O OO — O <br /> - - - - _ ----_ - _, __ _ �__ (OBTAINED FROM PROPERTY TAX NOTICE) _ <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> � INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM � ,_ OTHER i <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �] STEE� Q <br /> DESCRIPTION OF WORK R�P�-a eE. � � ���a�� � ��`= .[ � �.Z-�= 4 �pts�� <br /> � <br /> BUILDING 51ZE ` SQ FOOTAGE� HEIGHT <br /> � ^ - � <br /> OBUILDING $ ��� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVIC Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ` <br /> �J� <br /> OMECHANICAL $ VALUATION O MECHANICAL INSTALLATION '��� - <br /> � � <br /> QGAS Q ROOFING Q SPECIAL 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA R�� QYES NO <br /> ii� - <br /> BUILDEF2 � � /L' � ° � � V COMPANY - - _ <br /> SIGNATURE . : 4 REGISifERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> . � � <br /> ELECTRICIAN COM ANY <br /> SIGMATURE REGISI RED 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 L(cense# • - <br /> MECHANICAL COM AIdY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> . - <br /> Address License# <br /> I OTHER COM ANY � <br /> SIGNATURE REGIS�ERED Y/ N FEE CURRE� Y/N <br /> I <br /> Address � I License.# <br /> � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of�nergy Forms;R-O-W Permit for new construction, <br /> Minlmum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence lnstalled, <br /> Sanitary Facilitles&1 dumpster;Site Work Permit for sub ivisions/large projects <br /> COMMERCIAL Attach(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)working days after submittal date. Req�i�ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all rjew projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'""PROPERTY SURVEY required for aII NEW constructiqn. <br /> Direct(ons: � ' <br /> Fill out application completely. � • � <br /> Owner 8 Contractor sign back of application,notarized � ' � ' <br /> If over 52500,a Notice of Commencement is required. (AIC upgrad s over�7500) <br /> '" Agent(for the contractor)_or Power_of Attomey(for the owner)would be�omeone wlth notarized letter from owner authorizing same ' <br /> OVER THE COUNTER PERMITTING (Front of Appflcation Only) ' � 1 � - � � <br /> Reroofs if shingles Sewers Service Upgrades A/C , Fences(P ot/Survey/Footage) � ' ' <br /> Driveways-Not over Counter,iL'on public r,oadways..needs ROW ,,,.,�������;.,, ;_�z�vw " - ; , <br /> .. �i,._..,.. 4 �+�, - - - ' - <br /> �;rt:::is^�&�:.:: �i�f'�`�''�' . <br /> ii;`�j �at�:9;s:�3si:r'�,^;:`�'�i:i}r!:'4 ha <br /> �}ib!�i'��.CiiSil�s'::(;d+d:� `v���'� <br /> > � <br />