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o��-,ou�vLu Gity af Zephyrhiiis Permit Appiicatian Fax-813-784-4021 <br /> Building Department <br /> Date ReGeived, f(�._�(�.-l � Phone Contaat for P4rmittfng ��� �3� - �?a t'� <br /> Owner's Name ��G�'� S'l���j�G�j Owner Phone Number ,l� � � '- �� <br /> Ownar's Addres �7� �/ �✓7� � �/Y�� �/��►nar Phone Number ` <br /> Fee"Simple Tittei aider Name Ownar Phone Flumber <br /> Fee Simple Tit1e oider Address <br /> JQB AQDRESS '�3 �a � � cS��i'c� �-7� LOT# � <br /> SUBDIVISIQN � � PARCEL ID# /! '��' �������� a�'�� ~���'� <br /> (OBTAINED FROM PRQPERTY TAX NOTICE) <br /> WORK PFtOPOS D e NEw CONSTR 8 ADD/ALT [� SiGN Q Q DEMOL�SH <br /> tNSTAIt REPAtR <br /> PROPOSED US Q SFR [� GdMM � OTHER <br /> lYPE QF CONS�UCTiON Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTIQN QF WORK /7d�dv�r�rr, ��„s c�i� /1C �a�e��v�ts' ������/�i�/ lrh �2 <br /> BUILDiNG SIZE) �— � SQ FOOTAGE oC� HEIGHT �_���f���a�� �itcs� <br /> �BUI�Q NG � j'���� VALUATION OF TOTAL CONSTRUCTION <br /> t(J <br /> QEIEC fRlGAI �$'�� �� AMP SERViCE � PRdGRESS ENERGY Q W.R.E.C. <br /> � �� <br /> QPLUM�ING $ '��j� <br /> OMECH� NICAL $ VALUAT(QN OF MECHANICAI(NSTALlATION ������� <br /> �nr-��y <br /> �� <br /> QGAS � ROQFING Q SPECIALTY � QTHER � �� <br /> RNISHED FLQO ELEVATtONS FLOOD ZONE AREA QYES NO '� <br /> BUII.DER COMPAFiY <br /> SlGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# �y �� <br /> El.EC?RICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address Ucense# �` � <br /> PI,UMBER � � � COMPANY <br /> SIGNA7URE REGISTEREq Y! N FE�CURRE� Y/N <br /> Address License# � ` � <br /> MECHANICAL CQMPANY <br /> SIGNATURE REGISTERED Y/ Pf FEE CURRE� Y J N <br /> Address Liaense# �— ` � <br /> /�,�, � r,� �~ j /� <br /> f3�'HER -i�i����-E!Y 7 GJNlae[�!y l�lj,l��s'Dw-.� ,Coff �'�i <br /> SIGNATURE REGfSTERED Y t N ' FEE CURRE� Y/N � <br /> Address ��Q f�'��U� G� ,�f��rC,. }��5� License# �-���G17�'�7(� � <br /> R6S{dEN7fAL Attach(2}Plo#Plans;(2}sets of Building Plans;{1)set of Energy Forms;F2-O-W Permit for new t�nsttuctlan, <br /> Minimum ten(10)worktng days after submittal date. Required onsike,Construction Plans,Stormwater Ptans w/Sitt Fence instatled, <br /> Sanitary Facilities&.1 dumpster,Site Work Permit for subdlvistons!large proJects <br /> COMMERCtAL Attach(3�complete sets of Buildtng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construetion. <br /> Minimum ten(10)working days after submittal date. Required onslte,Canstruation Pians,Stormwater Pians wl Siit Fence instatled, <br /> 5ani�ary Faciltties&1 dumpster.S(te Work Permit for al!new proJects.Al!commerc►af reqnirements mus#meet comptiance <br /> SIGN PERMIT Attach{2)sets of Engineered Plans. <br /> '""PROPER7Y SURVEY required for all NEW consttucfion. <br /> Dtrecttons: <br /> Fill out appl cation completely. <br /> Owner& nhactor sign back of appltcaUon,notadzed <br /> If over$25 Ot a Notica of Commencement fs requfred. (AIC apgrades over 57500} <br /> " Agent{for e contractor}ar Power of Attomey(for the owner}wouid be someone with nota�ized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTIN.Ca (Frant of Appfication Onty) <br /> Reroofs If shingl�s Sewers Service Upgrades A/C �ences(PlotlSurveylFootage} <br /> Driveways�Not over Gounter if on public roadways..needs ROW <br /> ' . <br />