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i <br />' 813-780-q020 City of Zephyrfiiils Permit Applrcatian Fax-813-780-Od21 <br /> Building Department <br /> Date Received phone Contact for PermittJng — <br /> Owner's Name F� 2,� c.�J`'�-`�S Owner Phone Number �� � '��_C� _,_ <br /> Owner's Address �-� • V�X 10 13 Owner Phone Number �— � <br />� Fee Simpie Titiehoider Name � � Owner Phone Number � � <br /> Fee Simple Titlehalder Address <br /> JOS ADDRESS � � t���\ ` LOT# C�� <br /> SUSDIVISION �— � PARCEIID# <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK Pi20POSED e NEW CONSTR 8 ADDIA�T � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PRQAOSED USE Q SFR Q GQMM � OTHER <br /> TYPE OF CONSTRUCTION }�- BLOCK Q FRAME � STEEL [� <br /> DESCRiP7'ION OF WORK /� O�'{L C3 <br /> B1Jl�D1NG SIZE �— � SQ F04TAGE� NEIGHT � <br /> �BUtLQtEVG �Si� 1/ALUATtOid OF TOTAL CONSTRUCTiON <br /> L <br /> QEIECTRICA� �i � AMP SERVICE Q PROGRESS ENERGY Q W.F2.E.C. <br /> �PLUMBlNG �> � � ; <br /> `�,MECHANICA�. $���_----� VALt1ATtON OF MECHANICAL lNSTALIA'fiON � � t �3 Q <br /> o p <br /> , QGAS Q RQ4FlNG Q SPECtAITY � OTHER <br /> FINISHED FLOOR ELEVATIONS � � FLOQD ZONE AREA QYES NO <br /> BUI�DER CO(�IPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— �� <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> PLUMBER � COMFANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Address License# �i � <br /> MEGHANICAC � COMPArIY �C��� �.�J�C.,"� <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> . <br /> Address �O- �°� t l�Q Z� �S '3�a"`^33�t License# ��C.1���J�{�t� � <br /> OTHER � � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �icense# �— � <br /> E2�SIDENTIAt Attach{2}Piot Plans;(2}sets of Be�lcling P1ans;{1}set af Energy Fozms;R-O-W PSY[ritf F6C ttE,'W COflSiRlGtEOKt, <br /> " Minimum ten(10}working days after submittal date. Ftequired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach{3)complete sets of Buitding Ptans plus a�ife Safety Page;(1}set of Energy Forms.R-{}-W Permit far new constructlan. <br /> Minimum ten(10}warking days'after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities&1 dumpster.Site Work Permik for all new proJecks,All commercial requirements must meet complfance <br /> 51�N PERMIT Attach{2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction, <br /> ?irec#ians: <br /> Fill aut application campletely. � , , , - <br /> Owner&Contractor stgn back of application,notarized �, ; <br /> If ove�52500,a Notice a#Cotnmencement is required. {AtC.up8rades oJAr a�SOd) <br /> ,. ' • '•' , <br /> Agent(for the contractor)or Power of Attomey(for the owner)wouid be someone with notarized letter from owner authorizing'same � - • <br /> �VER TFiE COt1NTER PERMITTtNG (Front of Application Onty} <br /> 2eroofs if shingles Sewers Serv(ce Upgrades�A/C ' " Fences(PIoUSurvey/Footage) - -� • - • - - � , <br /> Driveways-Not over Counter if on public roadways..needs ROW , :� ' . � , <br /> . . - ' f. I .� ' . <br />