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���-,��-���� City af Zephyrhil(s Permit Application Fax-813-78d-0021 <br /> Building Department <br /> Date Rsc�ived Phane Contaat for Parmittin <br /> Own�r's Name !'Y C'Y' c C'-�?C- Owner Phone Rtumber �{I � "' � Y <br /> Owner's Acldress (��� � ST ` i� , 2 Owner Phone Numaer <br /> Fee Slmple Titleholde�Name �� � Owner Phone Number �— � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# [�� <br /> susairr�siaN � PARCE!»iD# 4 Z ' Zb -2! -�t gQ -oar�r,- a�(3 0 <br /> {08TAINEQ FROM PROPERTII TAX NQTiCE} <br /> WORIC PROPOSED e NEW CONSTR 8 AQD/ALT [� SIGN [� Q DEMOLtSH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME [� STEEI. �J <br /> DESCRIPTION OF WORK �� ! Cl � / � ��'t'C� <br /> BUiLDlNG StZE � X ) � � SQ FOOi'AGE� HEIGHT �_� <br /> ��BUILDING $ �_������ <br /> � {,� VALUATION OF TOTAL CONSTRUCTIQN <br /> QELECTRICAL ($ � AMP SERVlCE 0 PROGRESS ENEl2GY Q 1A(.R.E.C. <br /> � <br /> QPLUMBING � —� <br /> [�MECHANICAL �� VALUATIQN OF MECHANICAL INSTALLATION <br /> CJGAS Q ROQFING Q SPECIAI.TY C� OTHER <br /> =1NISHED FLOOR ELEVATIQNB L�� FLOOD ZONE AREA QYES NO <br /> � � <br /> 9UILDER � �COMP� <br /> 51GNATURE � � REGISTERED Y/ N FEE CURREh Y/N <br /> Address Lficense# r� � <br /> °_LECTRIClAN ... .. .. COMPANY <br /> 31GNATURE ,,_,_,„_,.,_ Re�ISreReo Y/ N FEE CURREt� Y/N <br /> Address License# � �� <br /> �LUMBER � COMPANY <br /> iiGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address tacense# � � <br /> IIECHANICAL COMPANY <br /> iIGNATURE i,, REGISTERED Y/ N FEE CURRE� Y/N <br /> Address license# � � <br /> 1THER COMPANY <br /> �I�NATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �icense# �� `� <br /> ;ESIDENTIAL Attach(2)P�ot Ptans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit far new construckion, <br /> Minfmum ten(10)warkEng days after sabmittal date. Required onsi#e,Construction Plans,Stormwa#er P�ans w!Si�t Fence installed, <br /> Sanitary Fadlities&1 dumpster,Site Work Permit far subdivfsfansAarge proJeats __ __. _ <br /> �:OMMERCIAL Attach(3).complete sets of Bullding Pis�s-plus a Life Safety Page;(1 j set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(id}warking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Si4e Work Permit far alt new proJects.Aii commercia!reqairements must meet camplfance <br /> IGN PERMIT Attach(2)sels of Engineered Plans. ' <br /> ""PROPERTY SURVEY required far atl NEW canstruction. <br /> lrectlons: <br /> Filt out appfiicafian comptefety. � � , <br /> Owner&Contractor sign back af applicatlon,natarized ' ' <br /> if over�2500,a Nottce of Commencement is required. �(A/C upgrades•ovgr$T54Q} . � � <br /> ,; <br /> Agent(for the cantractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same ' <br /> VER THE COUNTER PERMITTING (Front of Application.Only) s.__ . ' <br /> eroafs if shingles Sewers Service Upgrades NC �Fences(PIo�Survey/Footage) ,_ � � ""° � - � �� - ,. <br /> priveways-Not over Counter if on,publlc roadways.,needs ROW " " � ' - � ,. <br /> . . <br /> ..... ,�.._.,..., _ . ._..._k� ,. , ,.,.__,. ..t .... . ........ ... ..... .., ._. ,._. , y�.,.�,< <br />