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� , 8��-��� Ciiy of Zephyfiills Permit Application Fax-813-780-0a21 <br /> Building DepaMieni <br /> i <br /> date Received � <br /> Pho�re Contact for Permlttin <br /> Wu�iedsNama / l0 S� I OwnerphoneNumber <br /> SA � <br /> Uvinet's Addross � i Owner Phone Number <br /> Fee Simpin TiUeholder Hame , Owner Phone NambBr _ i_� <br /> Fee 5imple TiNeholderAddress ' <br /> .�oaanoeess I(o�^ S-F�. t� ✓h.�t IS LOT# 0 <br /> SUBUMSIDN ,p PARCE�(OtF i <br /> toarnweo FRO�t rreorenn-raz Nonc� <br /> WORK PROPOSE� e xEw CON57R 8 ADDlA�T d SIGN 0 Q �EhAOLtSH <br /> 1NSTHLL REPAIR � <br /> PROPOSEO USE Q SFl2 Q COMM � OTHEf7 <br /> 7YPE OF CONSTRUCTiON Q BLOCK Q FRAME Q 57"EEL Q <br /> d��t,n�+2. )Gt�w�� s _,'l.2,W S�"tk w,� t�t��r�n�v rnd����'�J'vs,v?•t.,.� <br /> DESCRiPT10N Of lNORK flI[.� ' J f �X- p� E X ��,�`. <br /> .� � � . . <br /> BUIL0ING SIZE SQ FOOTAGE�� HEIGHT � w`��S�d,hy. �aYtZJC <br /> fl <br /> OBUILDING S � � VALUATIDN OF TOTnL CONSTRUC710N <br /> I �ELECTRICAL $�� �� MAP SERVICE � Q PROGRESS ENERGY [� W.R.E.C. <br /> � � <br /> i <br /> I QPLUMBING $ �/_� � <br /> � /f/ 1!/ <br /> � `/� <br /> i QMECHANICAL $ VAl.UATION OF MECHANICAL INSTALLATION � I <br /> i <br /> ' QGAS Q ROOFING Q SPECIALTY�� OTNER <br /> FINISHED FL0012 ELEVATlONS � FLOOD'LONEhRFA �YES NO <br /> BUILDER COMPAtdY <br /> St6NATURE REG3STFiiED Y!N �cuaaEn Y/N <br /> ' pd� License# <br /> ELECTRICIAN . � COMPANY ��"�-'�'+-'�- ��C�L <br /> SiGNA7URE �c�srcam Y/N rce cuwun Y!N <br /> adare�s It�6 ��• .sY,rh sr. T w, er F2... ur.e�se# i,C s�co t �' <br /> P�ume� co�wP�wv <br /> SIGNATURE REGISTERF� Y!N �E c0�ar�. Y!N <br /> Ad�ess license�� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGI37EHf� Y 1 N Fce c+taHSn Y!N <br /> Add+ess Lic[:nse!! <br /> I <br /> On{� COMPAHY <br /> SIGNATURE r+ECls�ieo Y 1 N F�cuaR�.� V f N <br /> Address � Liccnse Sf <br /> II/IIIIIIOIf1111111I191t11L1111i11t11111t1111111i11111Y1I1i11/ 11111 <br /> RESIDEN7IAL. Attad�(2)Piot Plans;(2)sets of Bulding PWm;(1}set of Erieegy Fortns:R-O-W Pertnit far new consWction. <br /> � Minimum ten(10)working days afler submitlai Jate. Reyuired orcyite,Ctmsbuclian Plans,Stomixrater Plans w/Si1t Fence inshatted. <br /> Sanftary Fau7lties 81 dumpster,Stte Work Permit Tor subdivistonsfiarge proJects <br /> COMMERCfAL AttacFi(2}comptele,seFs uf Building Plans plus a LHe Ss(xty�Paga;(1)set of Energy Fom�s.R-O-W Permit For newconshuctian. <br /> Minimum ten(70)working days after suDmlHa1 date. Required onsite,ConsWction Plans.Stortnvratar Ptans w/Sdt Fence insialted. <br /> Sanitary Fecilities&1 dumpstet.Site WoAs PermN for a�d naw pmjects.Au cammercial requ"vuments mus!meet compGance <br /> SIGN PERIAIT Attach(2)seLS ot Engineered Plans. <br /> "'••PROPERTY SURVEY re�uired ior ali NEW con.ahuc?ion. <br /> Dlrodions: 'I* � <br /> F7�out�dicatian completety. ' � <br /> Owner&ContractoT slgn back of applicadon,notar(zed � <br /> U over s2500,a Hotiee o(Commencement ls required, (A/C upgrades over$7S00j <br /> "' ftqent(for tAe cantractor)or Power of Altomey(fo�the bwner)would be someone wrih notarized letter imm uwner authorizing same <br /> OVERTHE,COUN'YER PERMI'fTiN6 (COpy of cnntract required) <br /> RarooFs It shfngles 8ev�ers Servioe Upgrades AIC Fences(PlotlSurveylGootago} <br /> Drlveways-Not overCaunter if on pub�c,roadways..needs ROW � <br /> I <br /> i <br /> � <br />