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� o��-,a�-���� Gity af Zephyrhiiis Permit Application Fax-813-784-Od21 <br /> BuNding Deparfment <br /> Dafe Reaeived Phane Contact for Permittin <br /> Owner's Flame utc G � Owner phone Nornber O, �f � O4„� <br /> Owner's Address �� Qwner Phone Number (�l 3 ^�! 7`� ��0�� <br /> Fee Simple Titleholder Name � � Owner Phone Number �� � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S`Q 3�- t�'4'�"' S�C��� LOT# �—� <br /> SUBDIVtS10N � � PARCEl.ID# 1 t - 2 C • Z! ^OO lb '� d 3$'+Dp- O l�O <br /> (OSTAlNED FRQM PRQPERTY TAX NOTICE} <br /> WORK PROPOSEQ , � NEW CONSTR 8 ADDlALT � SIGN � Q DEMQ�lSH <br /> INSTALL REPAIR <br /> I PROPOSED USE C] SFR Q COMM � O7HER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME [� S7EEL. Q <br /> ' DESCRIPTiON 8F WOR4C � -r�r_t.- �R� �u� LT L-a�� $�4�Z.nl S N-�� <br /> BUIi.DlNG S12E r0 X �c�` � SQ FOQTAGE l oZ�� HEIGHT I j� �, '.�r' �� ��� <br /> I QBUILDING � ����4�0 VALUATION t7F TOTAL CONSTi2UCT10N <br /> I DELECTRICAL �� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �1���� �„5 <br /> �Mt F� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (�r�LQrJ G <br /> \,v� �p <br /> QGAS Q ROOFING [� SPECIALTY 0 OTHER �/ <br /> 'INISHED FLOOR ELEVATIONS �—� FLOOD ZONE AREA DYES NO <br /> 3UILDER r j�/ �� MPANY l V/'�'�G !X/ </�� <br /> , >IGNATURE �+ REGISTERED Y/ N FEE CURRE� Y/N <br /> � — � "`-�; i <br /> Address � `�, - License# r- —� �� <br /> ti <br /> I t � <br /> ELECTRICIAN COMPANY <br /> i1GNATURE REGISTERED Y/ N FEE CURREh Y/N � <br /> � Attdt�ss License# � --'� I� <br /> �LUMBER COtdlPANY <br /> iIGNATURE REGISTERED Y/ N FE�CURRE� Y/N <br /> Address License# r � <br /> �ECHANICAL � COMPANY <br /> iIGNATl1RE __ REGISTERED Y/ N FEE CURRE� Y/N <br /> Addrass License# �— � <br /> ►THER COWIPANY ' <br /> �IGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �Icense# �� � <br /> I <br /> ;ES1DETiTtAL Attach(2)Plot Ptans;(2)sets of 8uilding Plans;(1)set of Energy Forms;R-O-W Permit for new construction. <br /> MinEmum ten(10)wark[ng days after submittal date. Required onsite,Construction Ptans,Stormwater Ptans w!Siit Fence instailed, <br /> Santkary Facillties&1 dumpster,Site Work Perrnit for subd9visions/large projects _ _ . _ <br /> OMiKERCiFtL��- :,tiacn(3)compiete sefs of Buliding F'fans plus a Life Safery Page;(1)set of�Energy Forms,�R-�-W Permit for new constniction. <br /> Minimum ten{'f0)wortcing days after submittal date. Required onsite,Construc#lon Ptans,Stormwater Ptans w/Silt Fence installed, <br /> Sanitary Fac91{ties 8�1 dumpster.Site Work Permit for ali nsw proJects.Aii commercia!requfrements must meet compliance <br /> IGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'•PROPER'i'Y SURVEY required for atl NEW cons#ruction. <br /> irectlons: 1 -" <br /> Fi8 out apptication camptetety. ;" <br /> pwner&Gontractor slgn back of appifcatiac�,natarized . i ' <br /> If over�2500,a Notice of Commencsment is required. (A!C upgrades ovar 57540) � � � i ; ;�- <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same ° <br /> VER THE COUNTER PERMITfING (Front of Application Only) , . : � �' <br /> eroofs lf shingtes 5ewers Service Upgrades A/C Fences(PlotlSurveylFootage) , � . , <br /> bNveways-Not over Counter if on public roadways..needs ROW , , . ' <br />