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s�3aao-aa2o City of Zephyrfiilis Permit Application Fax-813-TSO-0021 <br /> . `' Buitding Depertment - <br /> Data Received (� j� j f � Phone-Contact for Permlttin � �f� �C't'"' - �� <br /> Owner's Name ' � Owner Phone Humber 3s�- ��� ^��� l„ <br /> Owner's Address ��p�,� �!..�e. Owner Phone Number � <br /> Fee Simple Tttlehotder Name Owner Phone Number � � <br /> Fee Simpie Titieholder Address <br /> JOS AdDRESS I� ��� LOT# [4___� <br /> SUBDIVIStON �i � PARCEL!D# 1�'��-02� `00 t d - (fAc� - �il�J t t<� <br /> (OBTAINED FRC1M pROPERTI TAX NdTICE) <br /> WORK PROPOSEp Hew c�oNSTR ADD/AI.T �] SIGN [� [� DEMOLISH <br /> , e INSTALL 8 REPAIFt <br /> PROPOSED t1SE Q SFR [� COMM' � OTHER <br /> TYPE OF CONSTRUC710N Q BLOCK " [� FRAME [� STEEL Q <br /> DESCRIPTION OF WORK �,r-2._ <br /> BUILDlNG SlZE _SQ FOOTAGE 1SS . HEIGHT C,,-�� <br /> QBUILDING �� � " �' <br /> VAl.UATION�OF'TOTAl.GONS'1'RllCT10N ��� <br /> QEl.ECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> � �� <br /> QPLUMBING ($ � ��� <br /> L- �lb <br /> QMECHANICAL $ VALUAT�ON OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING .Q SPECIALTY � OTHER F <br /> FWtSHED FLOOR ELEVATIONS ���pO,,;�-- FLOOD ZONE AREA QYES NQ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# ( � <br /> ELEGTRICIAN COMPANY <br /> SIGNATURE '' REGISTERED Y/ N FEE CURRE� Y/N <br /> Atldress " Ucense# � � <br /> PLUMBER � COMPANY <br /> 81GNATi1RE REGISTEREp Y/ N F'EE CURRE� Y/N <br /> Address License# C- � <br /> MECHANiCAL CdMPANY <br /> SIGNATURE REGISTERED Y./ N FEE CURRE� Y/N <br /> Addres$ License# � � <br /> QTHER ��� � COMPANY �,J` � <br /> SIGNA7t3RE ' ,_{"'�, ,�c,�^.a��„_ REGISTEREO Y/ N . FEE CURREI� /N <br /> Address � �� ,.,.�.�. /.�.1 ��-- License# �e C` Q S�7�'"�- ( <br /> RESiDENi'iAL• Attach(2)Rlaf�Plans;.(2)sets of Bullding"F(a�s;(1)sef of Energy�Farms;R-O-W Perinit for new construcBon, <br /> Mfnimum,ten(10}working days aftec.submit#al date. Raquired onsi#e,�onxtructlon Pians;Stom►wafer Plans w/Silt Fence tnstalled, <br /> Sanikary Facllitles;8�1,dumpster Site Woric=Permit for subilldfstoosllarge proJects <br /> COMMERCIAL Attach(3)camplete`sets of Builiiing�Plans plus a Lffe Sefety Page;(1)set af Energy Farms.R-O-W Permit for new canstruction. <br /> Minimum ten{10)warlcing days after submi#tat date. Required onsite,Construction Plans,Stormwater Plans wl Sitt Fence instatied, <br /> Sanitary Faciiitles&1 dumpster.Slte Work Permit for ail new projects;Ait camme�ai requirements must meet compi}ance <br /> SIGN PERMIT Attach(2)sets of'Eriginee[ed.Plans:. � <br /> ""PROPERTY SURVEY required for alt NE1N conshuction. <br /> directlons: <br /> Ftli aut appiication completeiy. <br /> t?wner&Contractor slgn back of applicatlan,notarized .. <br /> If over;�2500,a Notice ot Commencement{s requlred:' (A/C upgrad�s over$T50Q) <br /> `" Agent(far the contractor)or Poinrer of Attocney,�(for the�ownec)•would:be sorneone with notarized letter from owner;authorizing same : ,.. , <br /> ; �.,r.,r . .,,,,, ";: `�,. ` ._ ., �. � <br /> OVER THE COUNTER PERMlTi1NG ���'��+(Fiont of Application Onty);�t;��:: ; '���';;� . . , ,� ,' <br /> Reroofs if shingles Sewers � Service Upgrades�WC, � "Fer�ces•.(�IadSurvey/Footage) ' "!` �• ,. „t; , ` <br /> Drtveways-Not over Counter if on publlo�iaadways::needs:RQV1l,:`� �� h � �i � � I _`�'. �� •. �'. .. ,� <br /> �,-�.. <br />