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� Fax-813-7$0-0021 <br /> o„-,o�,�,�v city of Zephyrhiifs Permit Appiication <br /> Building Department <br /> date Receiv�d Phone Contaat for Permittin — <br /> Owner's Name FIZ�D�G��� ����� t3wner Phone Number Q 13�/��}"" �a`l�' <br /> C <br /> Owner's Address �7J�p ��L �� Owner Phane Numbsr <br /> Fee Simple 7itlehalder Name �� � Owner Phone Number � �!^ <br /> Fse Simple Tittehoider Address <br /> JOB ADDRESS <br /> �2��0�._ � (.l.r A'U�.''� _ l LQ7# �� <br /> � <br /> SUBDIVI310N �lL� 7��Zt�S PARCEL!D# ,3�y-+�?S-�!- !'�l� -00400� j8&'d <br /> , (48TAINEQ PR4M PROAERTY TAX NQSICEy <br /> WORK PROPOSEd NEW CONSTR ADD/AlT � SIGN Q [� DEMOLISH <br /> e INSTALL 8 REPAIR � <br /> PROPOSED USE Q SFR [[�J CQMM i {?THER <br /> 'TYPE 8F CONSTRUCTiQW Q BLOCK Q FRAME � STEEL Q <br /> QESCRIPTION OF WdRK ���'r cSt�tc �ti Ir?�7 K-<'( Y.'f� � � (,/����L` �r'j'� <br /> BUTLDING SIZE [� � SQ FOOTAGE[� 1 HEIGHT �_� <br /> �gu��p��� $ ��'� J VALUATION OF TOTAL CON5TF2UCTION <br /> QEl.ECTRICA� � � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBlNG ri � <br /> � ��., � �$=2� <br /> [�MECHANICAL $ VALUATIQN QF MECHANfCA�INS'fALLATtON , <br /> [�GAS I XI RQOFING � SPECIALTY [� OTHER � �� � <br /> � <br /> FiNtSHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUlLDER COMPANY <br /> SIGNATURE , �, REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# �— i—� <br /> ELEC7RICIAN COMPANY <br /> SIGNATl1RE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �` �� <br /> PWMBER � � COMPANY <br /> 51GNATURE C REGtSTERED Y/ N FEE CURREA Y/N <br /> Address License# � " � <br /> MECHANICAL CpNlpA13Y <br /> SIGNATURE REGtSTERED Y/ N FEE CURRE� Y/N <br /> +0.dd�ess License# � —� <br /> 07H�R �� ���,�� COMPANY ! !�C I P � C..=�C�/� � C��IaU� <br /> SIGNATURE REGISTERED Y/ I�) FEE Ct/RREh Y 1 P) <br /> Address /�`1� fftu�tG� tcr7��� R.� f License# C.��"L�� ` � <br /> RESiDENTiAL Aftach(2)Plot Pians;(2)sets of Building Plans;{1)set of EnergyjForms;R-O-W Permi#far new constrtactfon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stom�water Pians wJ Sitt Fence instatled, <br /> Sanitary Factllties&.1 dumpster,Site Work Permit for subdivisionsAarge proJects <br /> COMMERCiAL Attach(3)complete sets of Building Plans plus a Life Safety Page;'(1)set of Energy Focros.F2-O-W Permit for new canstrvction. <br /> Minimum ten(10)working days�after submitta!date. Requfred onsite,Cansttuction Pians,Stormwater Pians wl Silt Fence instailed, <br /> Sanitary Facilities&1 dumpster.Site Wark Permlt for all new proJects.A(!cammerciai reqtifrements must meef compliance <br /> SiGN PERMIT Altach(2)sets of Engineered Plans. <br /> '""'PROPERTY SURVEY required for aN NEW construckion. <br /> Directions: <br /> Fill out appUcation completely. <br /> Qwne�&Cantrackor slgn back of application,natarized <br /> If over 52500,a Notice of Commencement is required. {AtC upgradss ova I$75d0} <br /> '" Agent(for#he cantractor}or Power of Attomey(for the owner)would be someone with notarized letter trom owner authortzing same <br /> C1VER THE COUNTER PERMI7TING (Front of Rppifcation Oniy} <br /> Reroofs if shingles Sewers Servlce Upgrades AtC Fences{Piot/SurveylFaotage) <br /> briveways-Not over Caunter(f on publfc roadways..needs ROW <br /> I <br /> � <br /> I <br />