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��,.��ti,-�,U�� City af ZephyrhiNs Permit Application Fax813•78Q-0021 <br /> Building Department <br /> � <br /> Date RBCeiv�d Phone Cantact for Permitting <br /> �--� i c� �,` <br />� Owner's Name —���' �^^^�} 1�"'7" ��S� t3wner Phone Number � � ^-�f� -- 1 .��� <br /> Owner's Address Ownar Phone Number „_ _ <br /> Pee Simpie Titiehotder Name � � Uwnar Phone Number ��,_.,_. � <br /> Fee Simple Titiehoider Address e <br /> � ,. <br /> I JOS ADDRESS � ��J �` � � � , � S � LQT# �� <br /> �Q ���j _ �, � _ G7 ��O �-:J O J .�o_ �G'� G <br /> ', SUBDIVISIbN � �re�. �v'``'Z— PARCEI.lD# _ --- - -- <br /> —. _— �"`—"(OBTAINEft FROM PRQPERTY TAX NOTICE) <br /> t WBRiC PRBPOSED � NEW CONSTR AdDlALT C� SiGN [� Q DEMOl18H <br /> I e INSTAL� 8 REPAiR <br /> PROPOSED USE Q SFR Q COMM [�'] OTHER <br /> TYPE OF C4NSTRUCTiQN Q BI.00K Q FRAME ���� STEEL Q <br /> i <br /> I �.� �.�. m-���.. ��.W s <br /> DESCRIPTlON OF WORIC <br /> % BUILDING SIZE � �� 8�1 FOOTAGE� HEIGHT C�,� <br /> � <br /> �8���-����' � �� �� VALUATIQN OF TOTAL CONSTRUCTION <br /> QE{.ECTRICAI � ��) AMP SERVICE Q PROGRESS ENERGY Q W.F2.E.C. <br /> � <br /> I QPl.UMBING (9� r� �bO�� <br /> , L <br /> �MECHANICAL $ VALUATION OF MECHANlCAL INSTALLATlON � <br /> [�GAS Q RQOFING Q SPECIALTY [� OTHER <br /> =iNiSHED FLOOR ELEVATIONS (��� FLOQD ZONE AREA QYES NO <br /> � <br /> 3UIl.DER COMpANY <br /> 51G�fATURE REGiSTERED Y J N FEE CURRET Y I N <br /> Address License# � � <br /> .---._---_._,_� ; G-je`�•,.,.�. 5"�..�a�-e-o �..`� <br /> EI.ECTRICIAN �V�,4,, �c�___---r, "'---`" ��M�� ��NS FEE CURREn Y/N <br /> �IGNATURE <br /> Address � �� `"'�. �p--S�'��C� .c`�.. t" `C`� �1--3 �;Y7 Ucense# �C lrjU o�j Y 9�� <br /> �LUMBER COMFANY <br /> ,IGNATURE � REGiSTEF2Ep Y/ N FEE CURREr Y 1 N <br /> Address License# �� � <br /> �ECHANICAL COMPANY <br /> �IGNATURE REGISTERED Y 1 N FEE CURREt� Y J N <br /> Address ` License# � � <br /> ITHER GOMPANY <br /> �IGNA7URE REGISTEf�ED Y/ N FEE CllRREP Y J N <br /> Address License# � '�� <br /> � ESIDENTiAL Attach(2}ptot Plans;(2)sets of Building Plans;(1)set of Energy Fartns;R-Q-W Permit far new construction, <br /> � Minimum ten(10)working days after submittal date. Required ansite,Gonstructtan Plans,Stormwater Plans wt Sflt Fence fnstalled, <br /> � Sanitary Facilides&1 dumpster,Site Work Pertnit for subdivistonsflarge proJects <br /> OMMERCIAL Attach(3)complete seks of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new canstruction. <br /> Minimum ten(10a working days after submit#al date. Required o�slte,Construction Plarts,Stormwater Plans wt Siit Fence instailed, <br /> Sanitary Facilities&1 dumpster,Sike Wark Permft fvr all new proJects.AI!commercia!requfrements must meet compitance <br /> IGN PERMIT Attach(2a sets of Engineered Plans. <br /> ""'"PROPER'1Y SUR'VEY required for a!!NEW construction. <br /> Irections: <br /> Ffll ouk application camplskely. <br /> Owner 8�Gontractor sign back of application,notarized <br /> If aver S250Q,a Notice of Comrnencement is requfred. (AtC apgrades ou�r�750d} <br /> Agent(for the contractor)or Power of Attomey(for the owner)wauid be someane with natarized letter fram owner authorizing same <br /> VER TNE CbUNTEl2 PERMITTING (Front of Appiication Oniy} <br /> eroofs if shingles Sewers Servica.Upgrades A/G_-....•=Fences(RiotiSurveylFootage} <br /> Driveways-Not over Gounter if bn publfc roadways..needs:ROW , � <br />