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s�s-7'so-oo2a City of Zephyrhiiis Permit Application Fax-813-780-0021
<br /> . Building Department
<br /> Date Received f phone Cantact for Perm�tting � `7 – � a
<br /> Owner's Name �o� .�,. Owner Phone Number /� -o��`-�~o�`'�7
<br /> Owner's Addr�ss b�3� LGt++1C.c� f - Owner Phane Number �^ �
<br /> Fee Simple Ti#�eholder ldame � � 4wner Phone Number �— �
<br /> Fee Simple Ti��teholder Address
<br /> JOB AODRES� I 3I S LOT# ��
<br /> SUBDIY{310N � � PARCEL ID# � '�� � ��"! "`���"���r�j �
<br /> WORK PROPI SED NeW coNSTR ADQ/ALT O SIGN MED FR�QM PROPERTYT�7icE)DEMOLISH
<br /> eINSTALL 8 �REPA{R �
<br /> PROROSED. �SE Q SFR [� COMM � OTHER -
<br /> TYPE'OF CO�STRUCTION Q BLOCK - Q FRAME [� S7EEL Q
<br /> DESCRiPT10N 8F WORK �LtiG�t,a ~� � o-n t ; � �
<br /> BUtLDiP1G SI�E �i�! � SQ POOTAGE�� HEIGHT C___�
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<br /> �BUILDING �9i � VALUATtON OF TOTAL CQNSTRUCTION
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<br /> �EL� CTRIGAL $ AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C.
<br /> OPL�M81NG $
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<br /> �M CHANICAL $ ��� �! VALUATION OF MECHANICAL iNSTAk.LATION
<br /> OG IS Q ROOFING Q SPECfALTY [� OTHER
<br /> FINISHED F I OOR ELEVATIONS �� FLOOD ZONE AREA QYES NO
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<br /> 8UlLQER COMPANY
<br /> SIGNATUR REGISTERED Y/ N. FEE CURREt� Y I IV
<br /> Addre Is �l.icense# � �
<br /> ELECTR►CI,AN � ! COMPANY ,�
<br /> SIGNATURE� REGISTEREq Y/ N FEE CURFtE� Y/N
<br /> , Addre II Cicense# �
<br /> PLUMBER.I COMPANY -
<br /> 81GNATUR� -Re�is7eREo Y�J N FEE CURI2E� ' Y/N
<br /> Addre�s � License# �� �
<br /> , MECHANI I� � COMPANY ��(i hrr�S ��.-�'i r t�4 u Goo`,n
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<br /> : SIGNATUR � REGISTERED , ; Y I,N FEE CURRE� ''Y/N
<br /> Aildte s_ . J�t�`l3 ,!1/ VS `� � � . �leesrse.#; Gl�L I�� 361� �
<br /> _ QIHER�I '� - . ! ' � COMP,ANY �
<br /> SIGNATUR :-. REGISTEREp , . Y/N.,:.. PEE,CURRE�' Y/t�
<br /> - Addr�ss ,- , . License# �--�
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<br /> RESIDENTlAL;�. Attach`(2).Plot Flans;'(2)=sefs-df'Building•Plans;(1)`seY'ofEnergy;Forms;R=O-W;F'errriit.for.new=construction,
<br /> � ,. ��� :_ 4Minimum:ten�(;10).working:days after'submittal date. 'Required onsite;'Con`struction Plans,Stormwater.Plans w/Sitt Fence instaNed,
<br /> Sanita,ry,Facilities•.&:1�.dumpster.,Sike Work Permit for su6divisionsilarge projects`- 1
<br /> �;.C4MMER�1AL Rttach�(2}�'complete sets of 8uilding�Plans�plus a Gife Safety Page;{1)set of Energy Forms.R-O-W Permit for new construction.
<br /> � ` Minimum ten{10)working days after.submittal date.--.Required onsite,Construction Plans,S#ormwafer Plans wI Sitt Fence insfalted,
<br /> �� Sanitary Faciiities&1 dumpster.Si#e,Wor'k Permit fo��al!new projects.A1i cammercial requ'srements must meet cos3►pViance` `
<br /> °:"S1GN PE I IT Aftach`(2}sets of,Engineered Plans.-
<br /> ""**PRdPERTY SURVEY required for.aII.NEW construction.
<br /> ,�`D�ctiansti �_ :x�. �,
<br /> - - .Fill.ouk application completely.
<br /> . Own`�r&Contractor sign.bacPc of application,notarized
<br /> lf ov�fr$2500,a Natice af C�mmencement.is requ3re8. (A!C upgrades over$7500)
<br /> **' Agen`t(for�tti`e�co'ntractor}-or Power'of Attomey(fot the owner}woutd he sameone with notarized letter fram owner authorizing same
<br /> ,OVER Tti�Ct}UNTER P,ERMITTONG� (copy of contract tequired}
<br /> Reroofs if;shingles Sewers ServEce Upgrades A!C Fsnces(PIoUBunrey/Footage)
<br /> 8rive�ays-Not over Counter if on pubtic roadways..needs RONV ��.�-�v=:r��0.�.���->��°t��-~��°xT`*•°-^;���°x�'u~ :
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