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��, � . <br /> -� sis•7eo.0020 ' City of Zeph rhilis Permit Application Fax-813-780-0021 <br /> Buiid�n8 De�ertme�t <br /> Date Recelved Phone Conta t for Permitting <br /> _ ,._I°e. "��� <br /> Owner's Name C7$rj G I Owner Phone Number <br /> Owners Add�ess I I O�vncr Phone Number <br /> Feo Slmple TlUeholder Name � � Owner Phone Number <br /> I <br /> Fee Slmple TlUeholder Addross I <br /> JOB AODRESS p �7 Jt ZG� f� i S �L �j S Z LOT# � <br /> SUBDIVISION l.� O� �P�'�IrYli S RL�R�E61Dr� ��'�`�°-�'�D�O-/67d���0�p <br /> —r�— (09TAINED FFtOh7 PROPERTY 7A%NOTICE� <br /> WORK PROPOSED NEW CONSTR AQD(ALT � SIGN Q � DEMOLI$M <br /> INSTALL REPPIR <br /> PROPOSED USE Q SFR � .OMM �� OTHER � <br /> TYPE OF GONSTRUCTION Q BI O�K Q FRp�VI� � STEEL Q <br /> DESCRIPTIONOFINORK TMS�SI� �DuJa� �r �lr� l� � S <br /> BUILpING S{ZE �'�� SQ FqOTAGE�� HcIrH7 � <br /> �BUILDING v VALUAT�ON OF TOTA�CONST�UCTION <br /> �ELECTRICAL S 58p�' AMP SERVICE � PROGRESS ENERGY � W.R.E.G. <br /> �RLUMBING � � �� ) � /� i <br /> �------.-a � �.� �, <br /> QMECHANICAL 5 VALUAT ON OF MECMANIC�L,INSTfaLLATION �� � <br /> [�GAS �] ROOFING C] SpECIAI.TY � OTHGR <br /> FINISHED FLOOR ELEVATIONS FL�QD ZONE A.PEA �YES NO <br /> S S 5 ^�v-�� -°—r=.-�g -- �-� '-+� �'. ' °,�' '—R—"r w' <br /> BUILDER � Cpt,�Rqf�Y <br /> SIGNATURE f(kBISTEREp Y! N Fe�cuRaEn Y/N " <br /> Addmss ���r. , - Llcense# f �� <br /> ELECTRIGIAN CpMP�1�lY ��1' ��eGl(�L <br /> SIGNFlTURE R[GISTERED Y/ N_� FEE CURRLR �I Pl J <br /> Address �c �or; G�e-. T N�� t�tcensa# EC O('>o I�/$g <br /> PLUMBER CppAPANY �� <br /> SIGP1A7l1R� � REGI�TEREA Y!W ' Fe€c�RRE� � Y/�N <br /> Addross ��� .��~� �Icense� I �}�� <br /> MECHANICAL ��� COh9PAtd'f I �� <br /> SIGNATURE REGISTFREU Y/ N FEE CURF.E� Y/N II, <br /> Address I License# � ' <br /> OTHER � COMPANY I <br /> SIGyATURE � REGI3TERED Y/ N FEE CURRE� Y I N <br /> Address � License# ���� <br /> Y119i1111ii00 ! l1114111@171ili1�B�I1a01914oeeaalB1Yi18lIIIIIBIIIOILl11 <br /> R�SIQENTIAL Attach(2)Plot Plans;(2)setc of Building f?ians;(1)3et of Energy Fpnns;R-O-W Permit for new wnstn:ction, <br /> Minfmum t�n(10)working(iays after submlttal dat�. Requ(red onsite,Cqnstructlon Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanikary Facilities&1 dumpster,Site Work Pormit�or suGdiWsiunsgarge prajects <br /> CdMMERCIAL Atlach(3)comptete sets Of 6uilding Plans plus a LIFa Seteiy Pa2e;(1)set of Enerc3Y Forrns.R-O-W Rermit for new censtruCion. I <br /> Minimum ten(10)working days after suumittal dote. Required onsitQ,Construction Plans,6tormwater Plans w/Silt Fence Installed, <br /> Sanitary I?acilities&1 dumpst�r.Sits Vt�o;k Rerrpitlfor al�nsw projests.All commercial roquiramenRs must meet cnmpiiance <br /> SIGN I'ERh11T Attach(2)sets of Engineered plans. <br /> "'"'PROPERTY SURVEY required for all NEW conslruClon. <br />� . . .,'�„��e= 1�.� '-.:,�° '._ 'i�'- �.�'�' ' '�'*�i� _ . <br /> Directions: <br /> Fill out applicat�on complotely <br /> Owner&Conlracior sign back of application,notarized <br /> i If over$2b00,a Notico of Commcncoment is requlred. (A1G pgr�des ove�y7500) <br /> " Agent(for the conlractor)or Power of Attomey(for the ovner)w� Id be someone wllh notarized;etter fro�n ovmer aulhqrizing same <br /> OVER THE COUNTER PEP.MITTING (Front of Application Only� <br /> Reroofs ii shingles Sewers Servic6 Upgrades fVC F@N�e:(Pbt/Survey/Footag�) <br /> 1]r4�ewqys•Nol ever Counter If on pu611c roadv.rays.,needa RQW <br />