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, y 1 813-780-0020 G'sty of Zephyrhiils Permit Application FeX-8i3-7eo-oozl <br /> �A �' ' �: - Bufldin De a <br /> r g p rlmenl <br /> r _ - __..—�� <br /> Date Racelved Phone Contact for Permltiln � <br /> �.� - <br /> '"1."1-�71'IT . � - -. . .. �.ri....iT'1'TI . . . . . � . <br /> � � .. . . . . . .. <br /> Owner's Name Owner Phone Number <br /> �..�.... . . - . ' . .� <br /> Owner's Address �� _(���,_�� pwner Phane Number ���_ � <br /> _ Fes Slmpte Sitteholder Name � Owner Phone Number � � <br /> � Fee Simple Titleholder Addresa <br /> � JOB ADLIftESS �1 � . � LOT# � <br /> , � " _. .... . .. . . <br /> � <br /> SU9DNISiON _ _ PARCELIDN L� ` �c/ - ."-� Q�"'(X.`n.!,_ <br /> � � � {08ThittEO FROAt PR�PEftTY TA7t itOTICE) <br /> �- W4RK pROPOSEp e NEW coN57R8 ADD/ALT � SIGN Q Q DEMOLISH <br /> i {NSTALL REPAIR <br /> � PROAOSED USE Q SFR Q COMtvt � OTNER _ . . , <br /> I � � C� PRAME C,� STEEi. Q . <br /> TYPE OF CQNSTRUCTION B!C?CI( <br /> . . , ... <br /> � . <br /> D£SGRiPTiqN OF WORK T-.IJ.�J l l . ./7 L`— � .-5►L/� � <br /> .. .. _.. . . . . . . ....._.-._ <br /> � . <br /> BUILDINO SIZE �.. . � SQ POOTAGE�� NEIGNT ��___� \ , <br /> � - -. ... .... .... .. . ... . ... �- <br /> , ... . . : . .. . . <br /> T .'' . .. . .. . . .. . . .. ..i"f'r'2fT1?rt*�'1"` . .. . .. . . <br /> QBUILDlNG � VAIIiA'fION OF TOTAL CONSl"RUGT�ON <br /> I QELECTRICA4 $ AMP SERVICE Q pROGRESS ENERGY Q W.R.E.C. <br /> ,f <br /> OPl.UMBING ($ `� ��/� <br /> �MECHANICAL $ "� �a ' VALUATION OF MECHANICAI,INSTALI,ATION 7 ' J <br /> � <br /> [�GAS Q ROQFING Q SPECIAlTY � OTHER �y��' <br /> FINISHED FL�OR ELEVATIONS ��� FLOOD ZONE AREA QYES Nd <br /> . - , ..._... �-. <br /> -i.-1-i�.i-L.i-l-i.i.L.i-b.i-i�.-�'.-+'-C-'.-O-�-I-i-" �.-.-,�-:�.i=i-F�-'�C-'r::ri..i-4.{�-..-r:�-'.+-'•-'•-'•- <br /> .... . . ._.... . ... . . .. <br /> � . _� <br /> BUiLDER . " � COMPANY � <br /> SICsNA7URE �— ftEGiSTEREp Y(.N FEE CURRE{� Y I N � _ <br /> . ... . .. . ' . ., ,.. , -� - . , ... . . . _ <br /> Address ,.. l(censs# C...� . I <br /> �� ELECTRIEIAN � . � ,COMPANY . . . � <br /> SICaNATUAE .. KEGISTEREO �.Y I N FEE CURRER� <br /> I YIN <br /> Addrass License# �.. � <br /> PLUMBER �. _ � � COMPANY � � <br /> SEGNATURE REGISTEftEO Y J N � FEE CURRFJ. Y I N. <br /> ... . . . ��. . . . . .._ .. . -. .. � <br /> Address Ucense# �. � <br /> .. . .. _ . <br /> MECHANIGAL COMP.ANY /'1'1\( I�(:�Il �t°�,I/�CF'� � PCcS4U I <br /> SIGNATURE C. � - _� REGSSTERED Y/N � FEE Ct1RRE� � Y I N <br /> �. , <br /> Address ��77 3 �f, dCG� � ���s1.7�- License# �_/d��H'7/1 � <br /> OTHER COMPANY <br /> SIGNATURE i2EGiS7ERE0 Y I N PEE bi7RR6F: Y/N <br /> Address � License# � � <br /> 1111111iilitlt111l11FiFF11111iiit111'Iiit [ 11iItI11II111Ii1lItiI � Ilti <br /> ' RESIDENTIAL AUach(2)Plot Plans;(2)sels of Building Plans;(1)sel of Energy Forms;R-O-W Permft for new constructlon, <br /> i Minlmum ten{10}working days afler submittai date. Requlred onslfe,Consintction Plens,'Stormwater Ptans w/Siit Fence instatted, <br /> � 5anitary Facllllles 8 1 dumpsler;Sfle Work Permil for subdlvislons/large proJecls <br /> I COMMERCtAL Attsch(2)compteta sats af Building Pians ptus a Ltie Ssfety Page;(1}set o(Energy Fortns.R-O-W Permit tor naw consiructlon. <br /> MlNmum ten(10)working deys efter eubmitlel date. Required onsile,Constructbn P.laris,Stonnwater Plena w!SlIK Fence Installad. � <br /> � SanHery Faciliiias 8 1 dumpsier Site Wark Permit for etI new projects.AII commercial requiremenls must meel compllance <br /> S1GN PERMIT AUach(2}sets of Engineered Plsns. <br /> i * ' . ""•'PROPERTY SURVEY requfred far all NEW conslrucllon. <br /> � .r�S�'r,�••.� '� "''�;-'��.'�-.-�„r.��- <br /> , plrectlone: <br /> , � Ftll oul apgilcal400 comptetety <br /> Owner 6 Contractor sfgn beck of epplicalion,notarized <br /> it nver 52500,a Notice of Commeacement ts reqWsed. (A!C upgrade's over$7500) <br /> "' Agen!(lor the conkector)or Power of Ailorney(for the owner)would be someone with notarized lelter from awner aulhoriztng same <br /> OVER THE C4UNTER PERMITfING ' (oopy of c,ontrect requlred) <br /> Reroofs if shingles Sewers Sesvice 4tpgrades AtC Fenoes{PIaVSurveytFootage) - <br /> , Priveways-Not ovei Counter if on public roadways..needs ROW <br /> i . , • � <br /> � <br /> � — <br />