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o„-,��,-w�U City of ZephyrhiAs Permit AppGcatian Fax 813-780-0021 <br /> BuHding Department <br /> Date ltecefv�a�i Phone Contact for PermPttin D � O � ��� <br /> dwner's Name �/v�� �'1 ��y Owner Phane Number ,_. <br /> Owner's Address j �l � '` � `"T'�, �'� �a �ner Phone Number � <br /> Fee Simple TlNehaldar Mame � Qwner Phone Numbsr _ <br /> Fee Slmple Titiehoider Address <br /> JOB ADDRESS a�� �l l9/P/2 K�' �� �"'E'71 G!S � ( G"• LOT# � <br /> SUBDIViSION `� '�'��� ��`�S � PARCEL 1D# �� � � �`�� ��� ���Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE� <br /> WQRK PROPOSEQ e NEW CONSTR� ADDlA�T [� SiGM1! {� Q DEMOLlSFt <br /> lNSTALI REPAIR <br /> PROPQSED USE [�] SFR [� COMM [� 07HER <br /> TYPE OF CONSTRUCTlON Q BIOCK [� FRAME [� STEEI Q <br /> DE3CRIPTION OF WORK /�- � /\ �/��t � 1" " " ��um� ~ � �d� ���N�5 �i� � <br /> BUIlDING SIZE �— � SQ FOOTAGE�� HEIGHT [�� <br /> QBUILDING $ -� VALUATION OF 70TAL CQN$TRUC710N <br /> [�ELECTRICAL ��� AMP SERVICE �) PROGRESS ENERGY C] W.Ft.E.C. <br /> QPLUMBING $ � � �/�7t <br /> (L_ U <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALlA7lON ��r <br /> yi�1�. � <br /> ��as Q ROOFING Q SPECIALTY � OTHER <br /> =lNISHED FLQOR E�EVATiONS � � FI.00D Zt3NE AREA QYES NO <br /> 3UlLDER COMPANY <br /> 51GNATURE REGISTEi2ED Y/ N FEE CURRE� Y i N <br /> Address License# � � <br /> ?LEGTRICIAN COMPANY <br /> iIGNATURE REGISTERED Y! FI FEE CURRE� Y!N <br /> Address License# � � <br /> �LUMBER COMPAPlY <br /> iIGNATURE REGISTERED Y 1 f+l FEE CURRER Y I N <br /> Address License# �_ � <br /> IIECHANiCAL ` ,___��'���.�1�• COMPANY l��R 'S �rop���G-� �'����.. <br /> NGNATURE REGlSTERED Y! N FEE GURREA Y 1 N <br /> Address '��'�� � l EAI�� G�-�115 �✓3.5 License# ��'t'�'���'��1 <br /> 1'fHER COMPANY <br /> �iGNATURE REGIS7EFtED Y/ N FEE GURRHP Y t N <br /> Address � License# � `� <br /> ;ESiDENTiAL Attach(2}Piat Ptans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new constructton, <br /> Minimum#en(10}working days after submtttal da#e. Required onsite,Constructian Plans,Stortnwaker Plans w!S(It Fence Installed, <br /> Sanitary Faciii�es&1 dumpster,Site Work Permit for subdlvlsionsAarge projects <br /> dMMERCtAI Atkach(3}complete sets of 8uiiding Pians plus a Ufe Safety Page;(1�set of Energy Forms.R-O�W Permit for new cc>nstre:e±�on: - - --- - <br /> _._____.- Minimum ten(10}wortcing days after submlttal date. Required onsite,Construction Plans,Starmwater Plans w!S41t Fence lnstaNed, <br /> SaniFary Facilities&1 dumpster,Site Work Permit for all new proJects.All commercia!requlrements must meet eompffance <br /> IGN PERMtT Atkach(2}sets of Engineered Pians. <br /> "'�*PROPERTY SURVEY required for aU NEW construotion. <br /> Irections: <br /> F(11 out application completely. <br /> Owner&Contractor sign hack of appltcation,notarized <br /> If over a2500,a Notice of Commencemenk 9s required. (A!C opgradss over 57560) <br /> Agent(far the cantractor}or Power.of Attomey_(for ttie owner}riirouid-be'someone with notarized tetter from owner authorizing same <br /> VER THE CQUNTER PERMITTING + (Fiont oE Application Only} � <br /> eraofs,ff shingles Sewers Service'Upgrades A(C Fences(PloUSurveytFootage} <br /> Drlveways-Not over Counter if on publlc roadways..needs RCtVY` "�" "` <br />