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o��-�Q�-��� c;ity of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Buitding Department <br /> Date Recelved Phone Contact for PermitEing <br /> Owner's Name �1 �. v {�I / �n Owner Pflone Number � 1� �(�,�1 J �� <br /> Owner's Address � M � r J� Owner Phone Numb�r �— � <br /> Fee Simpte Titlehotder Name �— � Owner Phone Number � �� <br /> I Fee Simpie Titleholder Address <br /> JOB ADDR�SS 1U tf M �I t i { ( `L�l� " LOT# �� <br /> suBQtvis�o� �v��n� t��� p�cE���# !�,._ _ � ,0�Q�0 0� ��-�� _ - _ - <br /> _ __ � __ - -- --- -:---- � _ - ` (QBTAINED FROM PROPERTY TAX NOTICE) <br /> � WORK PRQPOSED NEW CONSTR ADDlALT � SIGN [� [� DEMQUSH <br /> e INSTALL 8 REPAIR <br /> PROPOSED U8E [� SFR Q COMNi � � OTHER � '`� <br /> TYPE OF CONSTRUCTION Q BLOCK �] FRAME [� STEEL Q <br /> DEBCRIPTION OF WORK � �� ������.. o u`� 2 � S� I o N F� • <br /> BUILDlNG SlZE �—� SQ FOOTA�E�� HEtGHT ��� <br /> , OBUILDING �6 � VAIUATlON OF TOTAi.GONSTRUCTION <br /> QELECTRICAI. �96 � AMP SERVICE [� PROGRESS ENERGY Q W.R.E.G. <br /> � <br /> QPLUMBING �� �p�j� . <br /> �/� , �'� <br /> �ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � f <br /> QGAS [� RQOFING [� SPECiALTY 0 OTHER <br /> FIN�SHEd FLOOR ELEVATIONS ��� FLOOD ZONE AREA C]YES NO <br /> � <br /> � BUILDER CpMPANY <br /> $iGNA'11IRE �_� REGISTERED Y/ N FEE CURREA Y/N • <br /> Address License# � � <br /> ELECTRICIAN CQMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Lioense# �— � <br /> PLUAABER � COMPANY <br /> SIGNATl1RE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addre�s License# r� �� <br /> ' MECHANICAL � CQMPANY 0 f �l�r� t nSr C'ri'� �() , <br /> SIGNATURE REGiSTERED Y! N E CURRE� Y/N <br /> Address License# ,,� <br /> OTHER COMPANY <br /> StGNATURE REGtSTERED Y 1 N FEE CURRE� Y/N <br /> IIAddress Liaense# �— �� <br /> RESIDENTfAL Attach(2}Plot Plans;(2}sets of Building Plans;(1)se#of Energy Forms;R-O-W Permit for new canstn,cBon, <br /> Mir�tmum ten(10}warkfng days after submlttal date. Required onsite,Canstruotion Ptans,Stormwater Pians wJ Siit Fence insta��ed, <br /> Sanitary Facilfdes&.1 dumpster,Site Woric Petmit for subdivistonsllarge pro�ects <br /> CBMMERCIAL Attach(3}cdmptete sets of Butlding Pians plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minfmum ten{1 Q)working days after submtttal date. Required ansite,Construction Plans,Stormwater Ptans w!Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster.Site Work Permit for a!I new proJecks.Ail cammercia!requfrements must meet complfance <br /> StGN PERMiT Attach(2)sets af Engineered Plans. <br /> ""PROPERTY SURVEY required for ati NEW construc6on. <br /> Directions: <br /> , Fkit aat appiication completeiy. . <br /> Owner 8 Contractor sign back of applfcatlon,notarizet! <br /> � If over a2500,a Natice of Commencement is requlred. (A/C upgrad�s over 57500) <br /> "* Agent(for the contractar)or Power of Attomey_(for,the owner)would,tie`someone wikh notarized letter from owner authorizing same <br /> C1VER THE COUNTER PERMITTING (Front of Application Only) • • <br /> Reroofs if shingles Sewers Service Upgrades`A/C- , Fences(P�ot/Suivey/Footage) <br /> Drlveways-Not over Counter if on public roadways,.needs ROW� �" �"`"�"�"�"' ~,,a <br />