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.� City af Zephyrhiils Permit Applicatian Fax-813-78U-0021 <br /> Building Department <br /> Date Received ( Phane Contact for Permlttin - <br /> Owner's Name ��'�' 0 � i�' � Owner Phane Number <br /> Owner's Address �3� �`�h '�'�• Owner Phone Number �� � <br /> Fee Slmpfe Tftieholder Narne � � Owaer Phone Number �� � <br /> Fse Sfmpie Tltlahoider Address <br /> JOB ADDRESS �d.bf) j,7�Q A"�'�.ta��j P� � � Q l.OT# ��� <br /> SUBDIVISION �i I V�( Q��S� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX N0710E) <br /> WORK PROPBSED e NEW CONS7R� ADD/ALT C� SIGN Q [� DEMOL.ISH <br /> INSTAE.� REPAIR <br /> PROPOSED USE C] SFR Q CONIM [,� OTHEFt <br /> TYPE OF CONSTR!lCTIQN Q BLOCK [� FRAME � STEE�. Q <br /> DESCRIPTION OF WORK �!h 5�`n� /1Q W C"Fsf,t K►^+�C SLK�� L��� ,SI��+'�:+rh ��✓�� <br /> BUILD(NG SIZE �—� SQ FOOTAGE�� HEIGHT ��� <br /> QBUILDiNG �^� VALUATION OF TOTAL CONSTRUCTIpN <br /> [�ECi'R1CAl ($ �-�-� AMP SERVtCE �� PROGRESS ENERGY Q W.R.E.C. <br /> �__ <br /> QPLUM81Nfa $ � <br /> QMECHANlCA� �� VA�UATtQN Qf MEGHANICAI INS'fAtlATlON <br /> OGAS C] ROOFiNG Q SPECIALTY [� 01"NEFt <br /> FiNiSHEt7 Fi.00R E�EVATIONS � FLOOD ZONE AREA QYES NO <br /> BUlLDER � CONIPANY <br /> SIGNATURE �c�s�Rea Y! N FEE GURRE� Y!N <br /> Address License# �� `�^� <br /> EI.ECTRtC1AN '��`��_�����r""'��,�_ COMPANY <br /> SlGNATURE �- RE�tSTERED Y J N ��cutzRa� Y 1 N <br /> �_..._._,,..,,_,.. <br /> Address License# �� —� <br /> P�t!(IABER � COMPANY <br /> SIGNATURE REGISTEf2ED Y! N FEE CURREt� Y i N <br /> Address License# �� i `� <br /> MECNANlCAL � COMPANY <br /> SIGNATURE . ,_ REGISTERED Y i N FEE GURREi� Y/N <br /> Address �� l.icense# ��� � <br /> OTHER ' COIUtPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREl� Y 1 N <br /> Address License# �� �� <br /> RESfDENT1Al. Attach(2}Plot Plans;{2}sets of Building Pia�s;(1}set oF Energy Forms;R-O-W Permlt for new constructioa, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Sllk Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Waric Permit far subdivisions/iarge projects <br /> GQlNlMEl2COAL Attach{3}compiete sets of Sailding Ptans p(us a Life Safety Page;{1}set af Energy Forms.R-O-W Permi#far new construction. <br /> Minimum ten{10)watking days after subm[kta!date. Required onslte,ConstrucUon Plans,$tormwater Plans w!Silt Fence instalted, <br /> Sanitary Facilities 81 dumpster.Site Wark Permit for all new projects.All commercial requirements must meet compliance <br /> SEGN PERMET Attach(2)sets af Enginee�ed PEans. <br /> ""'PROPERTY SURVEY required itrr aU NEW construodon. <br /> Directions: <br /> Fil!aut applicatlon completely. <br /> Owner&Contractor sign back af applicatlon,notarized <br /> if over�2500,a Notice of Commencement is required. (AIC upgrades over E75d0) <br /> '* Agent{for the contcactor)or Power of Attomey(for the owner)would be someone witti notarized le#ter from owner authorizing same <br /> DVER THE COUNTER PERMITTING (Frant of Application Onty) <br /> Reroofs if shingfes Sewers Service llpgrades R!C �ences{PtaUSurveylFootage) <br /> Driveways-Not over Counter if an public roadways..needs ROW <br />