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�,�-���-vutu Gity of Zephyrhiils Permit Application Fax 813-780-0421 <br /> 8u3tding Department <br /> tte Rec�lved 3"— � / -`j Phone Gontact for Permitting � 1 - L��� � <br /> nrner's Name J'A�✓ 2. U/o„S�'��j'7 Q!�/C� flwne�Phon�Numbar � ^�..s��� <br /> nrner's Address ��w � /Q SS�� � �v ' Owner Phone Number „ <br /> �e Simpte TltMehotder Name � i� � Owner Phone Number <br /> i <br /> �e Simple Titlehalder Address � <br /> )S ADDRESS /JL��Y t// �s"�'S�� j l6� 1.OT# C_� <br /> 1BDIVISION � � PARCEL iD# �iS'�1G`�� ""fl�f ���' DO�DD"O 0 CO <br /> � (OBTAINEp FROM PROPERTY TAX NOTICE) " <br /> ORK PROPOSEf1 NEw CONS7R ADD%ALT � SIGN � Q DEMOLISH <br /> e 1NSTALL 8 REPAIR • <br /> tOPQSED USE Q SFR � CQMM C� OTHER � <br /> (PE OF CONSTRUCTION � BLOCK Q FRAME � STEEL [� <br /> °_SCRiP'YION OF WORK � Q �2° f�f��- ��! t t.� '�- �l�a <br /> JILQING 5#ZE [S C�O� � i SQ FOOT�AGE 3 0 0 NEIGHT ��� <br /> � <br /> QBUILDING $ )/"" f �.�; � iVA1.UATiON CiF TOTA�GONSTRllCT{ON ' <br /> ��� �Q i <br /> QELECTRICAL $ !AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> I <br /> i <br /> QPLUMBINC3 ($r „—� <br /> � <br /> QMECHAN(CAL ��� (VALUA710N OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFiNG [� SPECIALTY � OTHER <br /> NISHED FLOOR ELEVATIONS �� FLOOD ZQNE AREA QYES NO <br /> JILDER GOMpA[�!Y <br /> GNATURE REGISTERED Y/ N FEE CURRE� Y/(�I <br /> Address �icense# �— i <br /> .ECTRICIAN � COMPANY <br /> � C+NA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address i.icanse# � � <br /> — � ; <br /> .UMBER COMPANY �I <br /> GNATURE REGISTERED Y/ N FEE CURREP Y/N _ � <br /> Address �lcertse# � ' <br /> ECHANtCAL COMPANY <br /> �NATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address l.icense# �� �� <br /> I'HER ��°��� COMPANY �G��°/ � O� �� <br /> �NATURE REGtSTEf2ED Y J IV FEE CURRE� Y/N <br /> Address /7r'�a�� �l � r'� �S ��Z•e�i / � . l.icense# �-S�1�.�� � <br /> eSlDEN'iIAL Atkach(2)P1ot Plans;(2)sets of Building Pians;(1)set of Enetgy Forms;R-O-W Permit for new construction, <br /> Mit�fmum ten(14)workfng days after submfttal date. Ftequired onsite,Conshvc8on Pians,3tortnwater Ptans w/Sit#Fence instatled, <br /> Sanitary Facilities&1 dumpster;Site Work Pertntt for subdlvislonsAarge proJeGts <br /> �MMERCIAL Attach(3)compiete sets af Butlding Plans plus a Life Safety page;(1)set of Energy Forrns.R-Q-W Permit for new construcNon, <br /> Minfmum ten(10}woticing days atter submittal date. Required onsita,Ganstruction Plans,S#ormwater Pians w/Sllt Fence fnstailed, <br /> Sanitary Facilities 8 1 dumpster.$ite Wodc Permit for all new proJeats.Aik cammerciai requirements must meet compfiance <br /> 3N PERMi7 Attach(2)sets of Engineered Plans. <br /> "**PROPERTY SURVEY required for all NEW constructlon. <br /> rections: <br /> Fitl aut app!{callon compteteiy. <br /> Owner&Contractor sign back of apptication,notarfzed <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades avor 57500) <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> ►ER THE COUNTER PERMITTIN�3 (Front of Appllcation Only) <br /> roofs if shingtes Sewers Service Upgrades A/C Fences(PiotJSurvey/Footage} <br /> D�iveways-Not over Counter if on public roadways..needs ROW <br />