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a�s-�so-ooao City of Zephyrhilis Permit Application Fax 813-�80-OQ21 <br /> ; ` Building Department <br /> "s I <br /> Date Received � <br /> Phane�Cantact far Pormlttin � �b�- ! � <br /> Owner'a Name �t= v t.,� �n.� 't c ���.� � � Owner Phone ldumber <br /> ��-_..., <br /> Ownor's Addresa � F o t� t� � �. �� Owner Phone Nutnber ��, � <br /> Fee Slmple Tltleholder Name Owner Phone Number �i,\� � <br /> Fee Simple Tttleholder Addres� <br /> I � ��f <br /> JQB ADDRESS �e��?� � r� � dl, tl�.� Z. �� ` LOT# �__� <br /> 3UBDIVISION � PARCEL ID# 1;�I3�-- 2G- - O I D �c77 OC� - U QS <br /> , {08TAlNED PROIYI PROPERTY TAX NOTlCEj <br /> WORK PRQPOSED NEW CONSTR AQDiA1.1' Q SIGN Q Q DEMOLtSN <br /> e INSTALL 8 REPAIR ! <br /> PROPOSED U3E Q SFR [� COMM � OTHER <br /> TYPE OF CdNSTRUCTION • Q BLQCK [� FRAME [� STEEl. C] <br /> DESCRIPTION OF WORK � � G..� S ` ' ;n, 4J ' � '� �,��-. <br /> BU1LDlNG SlZE �� � SQ FOOTA{iE �� iiE1GHT � � <br /> QBUILDING (9S j�� VAIUATlON OF TOTAL CONSTRUCTION <br /> L � G,-°� <br /> QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING �S_� <br /> QMECHANICAI �—� VALUATION OF MECHANICAL INSTALIATION <br /> QGAS Q ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD xONE AREA QYES NO <br /> BUILDER �, COMPANY �� i d►. �� C- <br /> SIGNATURE � REGISTERED Y/ N FEE RRE� Y/N <br /> Add�ess Cicense# � � <br /> EI.ECTRICIAN COAAPANY <br /> SiGNATURE REGISTERED Y/ N �E cu�REn Y/N <br /> Address Licertse# �� � <br /> P�UMBER � COMPANY <br /> SiGNATURE REGISTEFtED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> MECNANICAI. � COMPANY <br /> StGNATURE t� REGiSTERED Y/ N FEE CURRE� Y/IV <br /> ,�,_„,_„ <br /> Address Ucense# �� � <br /> 07FiER COMPANY <br /> SICiNATURE �.,.,: REGISTERED Y/ N FEE CURRE� Y!N. <br /> Address ; l.icense# � � - <br /> RESFDENTIN: Attach(2)Rlot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0=W Permit for new construction, <br /> Nllnimum.ten(1Q)waticing.days after.submitta4 date. Requlred o�site,Canstruotion Ptans;3tarrnwater Pians w/Silt Fence installed, <br /> SaNtery FaciltUes 8�1 dumpster,Sita Work-Pertnit far subdivlslons!large proJeGts <br /> COMMERCIAL Attach(3):complete sets of Bui�ding P�ans plus a Ufe Safety Page;(1)set of Energy Forms.R-O-W Permlt for new construcUon. <br /> Minimum#en{10}woticing days atter submlttai date. Required onsite,CansttucNon Ptans,Stormwater P1ans w/Silk Fence Ins#atied, <br /> SaNtary FaclltUes&1 dumpsler.Site Work Permlt tar ali ngw projectis.f1ll cammerciei requirements must meet compiiance <br /> StGN PERMIT Attach(2)sets of Engineered Plans.. <br /> '*'•PROPERTY SURVEY required for ali NEW cons#ruction. <br /> Dlrectlons: <br /> Pi!!out applicaUon completely. <br /> Owner 8 Contractor slgn back af appllcaflon,natarfzed <br /> If ov�ar a250p,a Notice of Commencement la required. (A!C upgrades ovir�7500) <br /> " Agent(for the contractor)or Power af Attomey(for the owner)would be sorneo{e with notarized le#ter from owner authorizing same <br /> DVER THE COUNTER PERMITTING (Front of AppllcaUon Only) <br /> Reroafs If sfiingles Sewers Service Upgrades A!C Fences(P1otlSu�eylFootage} <br /> priveways-Not over Counter if on public roadways..aeeds ROW � <br />