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813-780-Q024 City of ZephyrhiNs Permit Applic�iiort �aX-s�a-7aaooa� <br /> Bu!lding Department <br /> , <br /> Date Reaelved �( ' _ <br /> i Phone Contact far Permtttin <br /> Owner's Name � u�-4-� Owner Phone Number <br /> ---�- <br /> Owner's Address Owrner Phone Number � � � <br /> Fee Sfmple TI21aholder Mame � � Qwner Phone Nnmber � � <br /> Fee Slmpie Titlehoider Address <br /> JOB ADDRESS � � �l J � 0 LOT# [___� <br /> SUBDIVISION �� � PARCEL ID# <br /> (OBTAINED FRdM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT [� S1GN Q [� DEMOLiSH <br /> � INSTAL.L 8 REPAIR <br /> PROPOSED USE Q SFE2 � COMM' �� OTtiER <br /> TYPE OF GONSTRUGTlON Q BIOCtC " Q FRAME � STEE� Q <br /> DESCRIPTION QF WORK �� xL �3�..(U�'� �`�D J �� <br /> BUILQING SI2E ��! �.SQ FOOTAGE C� HEIGHT ��� <br /> �B�t�'di��"" - $ �`��D� VALUATION'OF TOTAL CONSTRUCTION <br /> [�EI.ECTRICAI. �� AMP SER1lfCE Q PFtOGRESS ENERGY C] W.R.E.C. <br /> OP�UMBING r>� ����� � J� <br /> QMECHANICAI. $ '— YAWATION OF MECNANlCAE.INSTA�IATiON 1,,.;J ����f � <br /> QGAS Q ROOFlNG Q SPEGlAITY � OTHER � <br /> ���� <br /> FIIIISHEQ FLOOR ELEYATIONS ��� FLOQD ZQNE AREA QYES NO /� �U� <br /> � <br /> '�"���.��-�.�- �S�, �U <br /> = <br /> �Ut�DE� ,�'��'�._' oMQ�ar�nr 'Sul� 3�'�-6. p,lS�� s� <br /> SIGNATURE ttEGis7��d Y i N FEE GtlRREA Y!N <br /> Address Lfcense# � i� <br /> EIECTRICIAN COMPANY <br /> SIGNATURE ' REGIS7ERED Y I N FEf CURRER Y I N <br /> ,0.ddress License# �—��i��� , <br /> PIUMBER �..— " ..—� CQMpANY I <br /> SIGNATURE ( REGISTfiRED Y i N FEE CURREF Y J N <br /> Address License# � � <br /> MECHANlGp! COMPANY <br /> SIGNATURE REGlSTERED Y! N FEE cURREE Y I N <br /> Address License# � � <br /> C?THER s-_� CQMPAHY <br /> SIGNATURE ,_,, , REGIs7El�b Y/ N , FEE CURREt� Y!N <br /> Address Llcense# ��i�i'� <br /> RESIDENTlAL Attach(2}FIot.Plans;(2)sets of=Bii!!iling"Plans;(1)set of Energy�Porms;R-0-W Permit tor new constructian, <br /> Minimum's ten:(10)working days after,submittal date. Requfred onstte,Construc6on Plans;Stonnwater'Plans w!SUt Fence lnstalled, <br /> Sanitary Faciiitles_8�:1,dumpster Site,Wark�Rertnit far subdivislons/large projects ` <br /> COMMERCI�l. Attach(3)oarraplete`sets of Bu!!iling'Pians pius a Life Safety Page;{i}set of Energy Fam�s.R-O-W Parmit far new canstnaefion. ._ <br /> Minimum ten(10)working days after submittal date.,Required onstte,Constructlon Plans,Stonr►water Plans w!Silt Fence instalted, <br /> Sanitary Facilities 81 dumpster.Site Wark Perrnit far ail new projecfs.All cammerclal requirements must meet compliance <br /> SIGM PERMlT Rtiacti(2)sets vf Enginesred,Pi'ans.�; � - � <br /> '""PROPERIY SURVEY required for ai!NEW canstruation. <br /> D}recttons: <br /> F(II out appflca8on completely. <br /> Qwner&Contractor sign baak of applfcatlon,naNarized <br /> 1f over$2500,a Natice of Commencement is required. (A!C uqgrades over 3T50Qj <br /> '* Agent(far ti�e oontractor)or Power of Attamey(far�the awner)woutd ba someone with notarized le#ter from owner authorizing same <br /> aVER THE GOt1NTER PERMITftNG (Front of Appiicetion Only} <br /> Reroofs if shingles Sewsrs Servtce Upgrades A!G Fences(PlotlSunreylFootage} <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />