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' ���-,au-�L� City of Zephyrfiiiis Permit Applicatron Fax-813-780-dd21 <br /> Buitding Department <br /> Date Rec�ived �- �,?--� ,�� Phone Contact for P�rmittln – <br /> Own�r's Name �"' t,1 P< Ov+rner Phone Number (! ,i�� {.l <br /> Owner's Address J -�� ..2.� � �- Owner Phane Number �i � <br /> Fee Simple Titiehoider Name �' � � Uwner Phone Number � � <br /> Fee Simple Tltteholder Addres� <br /> i <br /> �aB a��Ress '7�.5 /,� ,.S'1'` / L„%�s LOT# � <br /> S„SO�„�S�Q,� r— ' � PARCE�!D# t . 2� � �c �-ooto- o s o4 -���o <br /> {OBtAINED FROM PROPERTY 7AX NQTICE) <br /> WORK PROPOSED NEW tONSTR ADDlALT - SIGN CJ Q DEMOLlSN <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> , TYPE OF CONS7RUCTIQN BLOCK FRAME S7EEL Q <br /> ` dESCRIPTION OF WORlf 4 f� � Lj � _cZ f <br /> IBUlLDlNG SlZE SQ FOOTAGE HElGHT <br /> QBUILDING $ �� VRLUATlON OF TOTA�CONSTRUCTION <br /> QELECTRICAL � � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ F c�.�(J� '" S��I'� <br /> t � <br /> �yJ <br /> QMECHANICAL $ '" � VALUATIQN QF MECHANICAL INSTALI..ATION �,,, lV���#"S,��� <br /> ����e� <br /> ' QGAS Q ROQFING Q SPECIAL.TY [� OTHER �� `�1 <br /> �' =tN1SHEa FIOOR E�EVATIQNS F�OOD ZON�AaEA QYES NO �\� <br /> 3UILDER f(� �' COMPANY `�"0�1,�i�1�-� <br /> �tGNATURE / l REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— �1 <br /> eLEGTRICIAN COMPANY <br /> >IGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> _,...,_,.�,.� <br /> Address Llcense# �— �� <br /> 'I.UMBER � COMPANY <br /> i1GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �ii ^� <br /> �ECHANICAL COMPANY <br /> i1GNATURE REGISTERED Y J N FEE CURRE� Y/N <br /> Address ' license# � �� <br /> �'�E� COMPANY <br /> � +IGNATURE __ REGtSTERED Y 1 N FEE CURREA Y/N <br /> Address _ Lfcense# �` � <br /> :E3IDENTIAL Aftach(2)Plot Pians;(2}sets of Building Plans;(1}set of Energy Forms;R-O-W Permit for new construction, <br /> M'snlmum ten(10}watkfng days after submittai date. Requirad onsite,Construction Pians,8#ormwater Pians w!Silt Fence insta�ted, <br /> �� Sanitary Faciiitles&1 dumpsker,Slte Work Permit for subdivisionsAarge projects <br /> ` OMMERCIAL A#ach(3)comptete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construotlon, <br /> Minimum ten(1d}war{c€ng daysaffer submittai date. Required ansite,Canstruction Plans,Stottnwater Pians wJ Siit Fence installed, <br /> San(tary FaciliNes&1 dumpster.Site Work Permit for all new projects.All cammercisi regufrements must meet camplEance <br /> IGtd PERMiT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for aH NEW construction. <br /> � irectlons: <br /> Fitt out appiicafion campleteiy. <br /> Owner&Gontrac#or sign back of appticatkon,notarized <br /> ' If over y2500,a No#ice af Commencement is required. (A/C upgrades ov�r$7540j <br /> �, Agent(for the contractor)or Rower.o6�Attomey,(for tHe•owr'i�r)'woulii be'someone with notadzed letter from owner authorizing same <br /> �� VER THE COUNTER PERMIT7ING � (Eront,of Application.Only) '. ` <br /> eroofs if shingles Sewers S�ervice t)pgrades A/C Ferices(1?IoUSurvey/Footage) <br /> driveways-Not over Counter if.on-p�bliaroadways::needs'ROW""'`-'�� `` <br />