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a�a-7so-oQzo City of ZephyrhiNs Pecmit Application Fax-813-7eo-oaa� <br /> BuElding Qepartment - <br /> Date Reaeived Phone•Contact far Permittin <br /> Owner's Name (�� � Owner Phone Number Q� -a���� <br /> Owner's Address ^�i/>�.i P +�}'"���` �'f�`�r/ Qwner Phone Number �� '"���— �G �a <br /> Fee Simple Tftleholdsr Name � � Ownec Phone Naenber ��tl�'���' tY 7 �5� <br /> Fee Slmpie Titiehoider Address <br /> J08 ADQRESS �yd S G"f r� .�i ?� Y. ,��'. h, ' �'i��S /`'f �S� Ci lOT# L__LL�.� <br /> SUBDIVISION f/'YJE�'cild A6/�U� �� PAltCELlb# <br /> (d8TA1NED FROM PROPERTY TAX NOTICEj <br /> WORK PROPCISED , e NEW CONS7R� ADDJALT Q SiGN [� Q DEMQLISH <br /> INSTALL REPAIR <br /> PROPQSED-RJSE Q SFR Q COMN! �,� C?THER <br /> TYPE OF GONSTRUGI'ION Q BLQCK ' Q FRAME Q STEEl Q <br /> DE3CRIPTION OF WORK .L�S�T��- S NC� W I Q►�AF OV C� M��T�L. <br /> BUiLDING SIZE �'��(, �,�� SQ FOOTAGE ���°� HEICiHT J � � ,_,� <br /> �BUILDlNG $ !�' �,��� VALUATION`OF l'O`TAL CQNS'fRUCTION ���� °�� _ <br /> e� <br /> �ELECTRICAI. $ ���,,.�_� AMP SERVICE Q PROGRESS ENERGY [� W.Ft.E.C. <br /> �]PLUMBlNG ��� (����5�' �pP <br /> �✓ <br /> QMECHANICAL $ VALUA710N OF MEGHANkCAt.INSTALLRTiClN <br /> �___�'. <br /> QGAS [� ROOFING Q SPECIALTY � OTHER � <br /> FINlSHED FLOQR ELEVATlONS FLOOD ZONE AREA QYES NO � � �`1��y <br /> l/ <br /> BUI�DER ` �R �I� COMPANY <br /> SIGNATURE .����'v'1� Q'���Y �V� REGISTEREQ Y 1 N FEE GURREA Y 1 N <br /> Address �1 y��fa 6�s�N Y ,t`�a'�� ,� yf-);I/F/• License# �� � <br /> EIECTRfCtAN ��,,�� �j�,,� �y/' � 'aGJ�� COMpANY <br /> SIGNATURE REGiSTERED Y/ N FEE CURRER Y!N <br /> Address 3 "�vr �Z/ar �-� ��YT.c� Y�li/jS License# � I <br /> PIUMBER COMPANY <br /> 51GNATURE REGlSTERED Y! N FEE CURRER Y!(V <br /> Address License# �— , � <br /> MECHRl+!lGAL CQMPANY <br /> SIGNATURE REGISTEREQ Y./ N FEE CURRE� Y!N <br /> Address License# �, � <br /> OTHER COMPANY <br /> SIGNATURE R�Gisre�o Y/ N FEE CURRE� Y!N <br /> Address � License# � i , � <br /> RESlDENTIAL` Attach(2�RIat:Plans;(2)sets of Biiilding'Plans;(1)sat of Energy'Forms;R-0=W Pernilt for new construcUon, <br /> Minimum;ten,.(1,0):worktng;days after.submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Sflt Fence installed, <br /> Sanitary Faciliti�es&1:dumpster,Site Work,Permit for subdivisionsAsrge projects <br /> GOMNl�RGIAL Rttach(3)complete seis of Bu}Idin"g Plans plus a zffe Safety Page;{1)set of Energy Farms.R-O W Permtt fbr new construotion. <br /> Minimum ten(10)warking days'after submlttal date, Requfred onsite,Constructlon Plana,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciti8es&1 dumpster.Site Work Permft for all new projects.Ail commercial requirements must meet compilance <br /> SIGN PERMIT Attach{2}seis afEnglneeced P.lans... <br /> '"'•PROPERTY SURVEY required for all NEW c;onstructlon. <br /> Rlrectlons: <br /> Fill out application completely, <br /> Owner&Contractor sign back of applfcatlan,notarized <br /> if aver 32500,a Notice af Cammenaement is required. {A/C upgrades over�7500) <br /> '* 1�qent(for ttie crontracMr)or'Pawer of Attocney(for the�owner}would be sameone with natarized letter from awner authorizing same <br /> t3VEft THE COUN'i'ER PERM1'f71NG (Front of Application Only} <br /> Reroofs if shingles Sewers Service Upgrades RIC Fences{PlotlSurveylFootage) <br /> Driveways-Not aver Counter if on public roadways..needs RC1W <br />