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d,�-,n�-„v<v t;ity o�ZephyrhiNs Permit Application Fax-813-784-0021 <br /> � Building Department <br /> �.. <br /> Date Racelved !�i �'? —/� PhonA Contact for Permittin !J/.3 V✓�� — �7'�"p <br /> Owner's Name j J L t,.f Uwner Phane Number / ""'�o�� ".3 l LL <br /> Owner's Address / W�S�F�4� ��"�!/ 3 Owner Phone Number _,,_„_,_. <br /> Fee Sirttpie Titlehoider Name Owner Phone Number <br /> Fee Sfmple 7itieholder Address <br /> JOB AGDI2ESS !�a j w�J`�r� 1/� LOT# �� <br /> SUBdiVIS10N �r1�.5 ��'i!7 G�A'Ks PARCEL ib# 1.�'� "°C7f� ���va'"QO��� '���/� <br /> (OBTAINED FROM PROPERTY TAX NQTICE) <br /> WORK PRQPOSED e NEw CONSTR 8 ADD/ALT �� S1GN � [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q CQMM � OTNER <br /> TYPE OF CONSTRUCTtOH Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIQN OF WORK �G-^�o0< LJ�7"j, �¢ �ry1B"R/S/O�t/ L S' / LLT.� o�� <br /> BUILdING SIZE �— � SQ FOaTAGE .�OC� HEIGHT �_� <br /> QBUILQlNG � /�� �� VALUATtON OF TO7AL CONSTRUCTION <br /> (O <br /> QELEC7RICAL ($— ,� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> OPLUMBING �>� <br /> QMECHANICAL (36 �] VAWATION OF MECHANlCAL INSTALLATIQN �� <br /> L J � (� <br /> QGAS � ROOFING Q SPECIALTY � QTHER <br /> FlNISHED F�OOR EIEVRTtONS ��� FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE ,_,_, REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# � � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE „ _,_, REGISTERED Y/ M1I FEE CURRE� Y I N <br /> Address �Icense# � � <br /> PLUMBER � i � COMPANY <br /> SIGtdA7URE � RE�tSTERED Y J {V FEE CURRE� Y J N <br /> Address License# r' '�� <br /> MECHANICAL CQMPANY <br /> SIGNATURE _„_ � REGISTERED Y/ h! FEE CURREh Y J N <br /> Addross Licen&e# �� � <br /> _BTii�R - �M,'�l , COMPANY 1'� t 04!» D ri /✓; <br /> SIGNATU1tE � REGISTERED Y/ Ri FEE CUR ti Y/N <br /> Address l�l� Q�,t�"' t /Z / �.icense# �C�Lp tf'3 3�G3 �i � <br /> RESiDENTiAL Attach(2)Plot Plans;(2)sets of 8uilding Ptans;(1)set of Energy Forrns;R-O-W Permtt for new c�nstruction, <br /> � Minimum ten(10}working days after submlttal date. Ftequired ansite,Construction Plans,Stormwater Plans w!Sfit Fence instailed, <br /> Sanitary Facilides&i dumpster;Site Work Permit for subdivisionsAarge proJects <br /> COMMERCIAL Attach(3)comptete sets of Building Plans plus a Life Safety Page;(1)se!of Energy Fomts.R-Q-W PermEt fior new consUvction. <br /> Minimum ten(10)working days after submittal date. Required ons(te,Construction Pfans,Stormwafer Plans w/Sitt Fence fnstalled, <br /> Santtary Faoliities&1 dumpster.Site Work Permit for aU new proJeots.All commercfal requlrements must meetcomptiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW consttuction. <br /> birections: <br /> Fill out appiicaBon completely. <br /> Owner&Contractor sign back of appitcatlon,notadzed <br /> If over�2500,a Notice of Commencement is requlred. {AtC upgradas over$7500j <br /> " Agent{for the cantractor)or Pawer of Attomey(for the owner)would be someone with notarized letter from owner autho�izing same <br /> OVER THE COUNTER PERMlTTING (Front of ApplEcaUon Only) <br /> Reroofs if shingles Sewers Servlce Upgrades AIC Fences{PfotlSunreyJFaotage} <br /> Driveways-Nat over Counter If on publfc roadways..needs ROW <br />