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o�a-,o�-���� Gity of Zephyrhil(s Permit Applicetion Fax-813-780-0021 <br /> Building Departmen# <br /> Date Received Phone Contact for Permitting - <br /> Owner's Name �- Owner Phone Number ����,��� . <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name �— � Owner Phone Number ,,,,,,,, � <br /> Fee Sfmple Tltleholder Address ,� <br /> .. � <br /> J08 ADDRESS ��t��� ! �� ��' L _ � LOT# <br /> 5USD11/tS10N �� � PARCEL iD# _ _ <br /> _ . _ . _-U ---__-_T - _� - - - - -- -"- - - —_ (OL3F13dEt9 PRQiS-PRUFERTYTdX,1'CTi4.E}J___-, - -_--- <br /> WQRK PROPQSEp e NEW CONSTR 8 ADDIA�T Q SIGN C] Q DEMC}LlSH <br /> INSTALL REPAIR <br /> PROPO$Ed USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME .: �� STEEL Q <br /> DESCRtPT10NOFWORK � � t ^ �(t/�u C� -��-.T°�I� 1:J� Cc�S� <br /> BUIl.DiNG SIZE �� � SQ FOQTAGE C� HEIGHT �,�� <br /> �BUILQING ri �� VAt�UATION QF TG1TA�COtVSTF2UCT10N <br /> L <br /> ECTRICAL $ AMP SERVICE r�(� �PROGRESS ENERGY [�] W.E2.E.C. <br /> � <br /> QPLUMBING � � �t+ <br /> � � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTAlLA710N ��� <br /> QGAS Q RQOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS C�� FLOOD ZONE AREA QYES NO <br /> BUILDER GOMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �i �� <br /> ELECTF!lCIAN / GOMPANY '7-�u"�'J'���5� �" �'G��/t G- <br /> 51GNATURE ���- REGISTERED Y/ N FEE GURREt� Y/N <br /> Address � ;/� -. t 2 License# � ,��'" �c�d��'" ��� <br /> PLUMBER COMPANY <br /> SIGNATtIRE REGISTERED Y/ N FEE CURRE� Y/IV <br /> Address Ucense# r� �� <br /> MECHANICAL COMPANY <br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addr�ss License# �— � <br /> OTHER CQMPANY <br /> SIGNATUi2E REGISTERED Y/ N FEE CURRE� Y/N <br /> ' Address l.icense# �— � <br /> ' RESidENTiAL Attach(2)P�ot Plans;(2}sets of Building Plans;(1)set of Energy Forms;R-O-W Permit far new aonsbvctlon, <br /> � Min3mum ten(10)waricing days aRer submittat date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, <br /> San(tary FacAtdes&,1 dumpster,Site Work Petmik far snbdlvfsiansllarc�e protects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Farms.Ft-O-W Permit for rtew constru�tian. <br /> Minimum tan t10}working days after submittat date. Required onsite,Construotion Plans,Stormwater Plans w/Silt Fence installed, <br /> Santtary Fac111Ues&1 dumpster.S{te Work Permtt Eor ait new proJects.Att cammercia!requirements must meet camptianae <br /> SIGN PERMIT Attach(2)sets af Engineered Plans. <br /> ""PROPERTY SttRVEY required for atl NEW construction. <br /> Dlrect(ans; <br /> Fill out appiication campieteiy. <br /> Owner&Contracior stgn back of appficatlon,notarized <br /> If aver 52500,a Natiae of Commencement is required. (A!C upgrados over S750Q) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner author3zing same <br /> DVER THE COUNTER PERMITTING {Fronk of Application Only) <br /> Reroofs if shingtes Sewers Service Upgrades A/C Fences(PIoUSurvey/Faotage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />