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s��-�so-oozo City of Zephyrhilis Permit Application Fax-813-78o-0021 <br /> ' Bul�ing Department <br /> Date Recelved phone Conta for Permittin <br /> (� �I <br /> Owners Name l.. ��� �"� Owner P`h'one Number 7 d - 9 0 3- ZO <br /> Owners Address Z C �l�NL. �.7�ANC� �I �`'O�rn�er Phone Numher <br /> FeeSimpleTitleholderName �t"��� ���� I OwnerPhoneNumber <br /> I £ <br /> Fee Simple Tltleholder Address <br /> Ja6 ADDRESS � l + ST l..�H R �U.i'� LOT# 1 � <br /> SUBDIVISION ��-1 PAR ELID# ��—Z�� Z) � (�O�O,� ��qOO " � Tr <br /> (OBTAINED FROM PROPERTY TA7(NOTICE) <br /> WORK PROPOSED NEW CoNSfR ADD/ LT Q SIGN Q Q DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE � SFR Q COMMI 0 OTHER • <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCWPTION OF WORK v�1'J A��' lL � �� l.0 �NS�I` O�1�- <br /> BUILDING SIZE SQ FOOTAGE ���7 HEIGHT ' �7� OR.. <br /> �BUILDING $ VALUATIQN OF TOTAL CONSTRUCTION <br />' QELECTRICAL � AMP SE vICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �7 z 7, 93� �z�� <br /> '�MECHANICAL $ q S a O ,a� VALUATI N OF MECHANICAL INSTALLATION � <br /> L g,�e �x. �� c` <br /> QGAS Q ROOFING Q SPE IALTY � OTHER � <br /> FINISHED FLOOR ELEVATIONS FLO D ZONE AREA QYES NO ���S <br /> BUILDER COMPANY <br /> SIGNATURE t�isr�o Y! N FEECUftRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CIJRRE� Y 1 N <br /> Address License# <br /> PLUf�ABER COMPANY <br /> SIGNATURE REGISTERED Y!N FEECURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY OF3t_.E Ar� ��D/T�O��NCT ySTEnAS <br /> SIGNATURE REGISTERED Y/ N FEECIJRRE� Y/N <br /> Address 3 � V 1 rp ��/L �r1� IJ T� �T�D�� License# n�� �ZZ' <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEECURRE� Y/N <br /> Address License# <br /> � ev � � � � � � � � � � � � � � � � � � � � i � � � � � � � � � � � � � � � ir � � � � � � � � e � � � � � � � � � � � � e � eo � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1 set of Energy Fortns;R-O-W Pertnit for new construction, I <br /> Minimum ten(10)working days after submittal dat . Required onsfte,Construction Plans,Stormwater Plans vdl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work PermitlTOr subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a ife Safety Page;(1)set of Energy Forms.R-aW PeRnit for new consWction. <br /> Minimum ten(10)working days after submittal dat . Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facililies&7 dumpster.Site Work Pertni tor all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '*"PROPERTY SURVEY required for all NEW co strucdon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,�otarized <br /> If over$2500,a Natice of Cammencement Is requlred. (AIC upgrades over$7500) � <br /> " Agent(for the conVactor)or Power of Attomey(for the rnmer) uld be someone with notarized letler irom owner auihorizing same �„�.k,r <br /> OVER THE COUN7ER PERMITTiNG (Front of Application Onl�j) � s <br /> Reroofs if shingles Sewers Service Upgrades A/C �nces(Plof/Survey/Footage) �'3 � � <br /> Driveways-Not over Counter if on public madv✓ays..needs RO � � ( <br /> 2 � <br /> C <br />