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�� - ----- --- - -- - - 813-780-0020 City ofi Zephyrhii(s Permit Application Fa"-s�s"7$°"°°2i ' j Bui{ding Department . � I _ i el / Date Rec�iued �f� �'7� -��o - /�L' �1 �F� Phane Contaat for Permittin . �__r_Y'7"r�".� ` Owner's Name � �G� a r '� Owner Phane Number _ �.1 �� - ��1 �� f,;��,D��I e �a �"�^ �✓' ��n�*�l�.�3 ��Owner Phone Number Owner's Address Fee Sirnple Titleholder Name ��.�'* 'L � Owner Phane Number t, 1 ;4 ' Fee Simple Titieholder Address JOB ADDRESS ..5 4�C.��o� LrGf"J'"1�� C-r'�%r"+� '�"'� ` LOT# '� SUBDIViSIQiV �1�[ t�e�f"� �t2� PARCEL ID# �� "'�t�-,��'Gsv'��.��`G.dQ �� (OBTAINED FROM PRQPERn TAX NQTlCE) WQRK PRC?P�OSED NEW CONSTR ARDlALT � SIGN Q 0 DEMOUSH " E�INSTALL 8 REPAIR PROPOSED�SE �J SFR �] COMM � OTHER TYPE OF CO�� STRUCTION � BLOCK � FRAME [� STEEL � E c � Tio" oFwaAx f'��'� �'��l�-�'��...��, 1-�S��c� R �e�d�' _�.-�-1-, j--�E�- D S RP N � � � ��r�" �/:w`+^� �� BUI�DING StiZE SQ FOOTAGE ��G� ��7 HEIGHT � OBU LDING �+ `��- �� VALUATION OF TOTAL CONSTRUCTION 1�� ,�� �ELECTRIGAL $��;��, �'� AiUIP SERVIGE 1J`'L� �'� PRQGRESS ENERGY � W R.E.G. OPL�MBING $ t� '�C�' � �� .�� � OME�HANICAL $ ,,.-��,c e VALUATION OF MECHANICAL WSTALLATION ` � . � � `� � ' �GAS ��rROOFING Q SP - OTHER � FINISHED F �OQR ELEVATlONS i R FLQOQ ZQNE RRE �YES NO f�'�� 2� /�� ' `"�� ri--1-1-i�-{-`�'.�-�-{-i-1-1-•1--1••1-•I••f-f•�F-1-h-1-1-1--1--�- 1�-1'•1-f•�1--1�-1�•�-a-f-�i��-l--1-�F�I•-1-�8-' • • • • • • • • • • • 1•-1-1-F-1- BUILDER � '�� /� CONiPANY �1JE� . �c��c�{'�+ �f'4G SIGNATURE �� REf1STERED Y/ N FEE CURRE� Y i fV Address f��C J�CC.�/r7 ,��" �� '� License# �'T�..'�-�*��a�' � � ELEGTRIGI� �„��,,,,_ CdMPANY �� C�+��d� �t"��fi j C- SIGNATURE �� REGISTERED Y/ N �EE cuRREt, Y i N Addres� � �i�i �f' ��G r'►'• �- L• n ��Z C3 ' � �` t� � ice se# �� PLUMSEFi � �y� ��/��_ COMPANY dl'j'i L�l'�Tt1 lt �.-�f1"".d� - SIGNATURE �� "'�� T RE�lSTEF1ED Y/ N FEE GURRER Y R! ..�. . Address �y� �Cz` �� c �v�-.� C-�� License# ��e �� ► %�•�-� MECHANICA� ��.�.`m'"� �— CQNtPANY �I`�G? rC.'Sc�i t'� E`f�f'-�� S'�C<r'y S� SIGNATURElI AE�is7eREQ Y( N �eE cuAR�n Y/N Addresa '�1�f�� t 5"�eP�'7'`� ��r�r�+�L�� License# V��3!G�10� � dTHER i �M��,,�„�/1�_ COMPARfY t`t ! ��C'rr''� �G3�r't SIGNATURE REGISTERE� Y/ N FEE GURRE� Y/N • Address ��' � ��' ..sy'�` �� License 1# �� CJ�.�,�. � 4�? � �_ Ifiili�ililtl ! l � IIIIII ! ! II ( � lltltlllllilllllitlllllllllllll'' Ilittllll RESIDENTIAL Attach(2)Plat Plans;(2)sets of Building Plans; (i)set of Energy Forms;R-O-W Permit for new construction, �� Minimum ten (10)working days after submittal date. Required onsite,Canstruction Plans,8tarmwaier Plans w!Silt Fence instalted, �) Sanitary Faciiities&1 dumpster;Site Work Permit for subdivisions/Iarge projects COMMERCt�\L Attach(2)complete sets of Buiiding PJans plus a Life Safety Page;(1)set of Energy Farms. R-CI-W Permit for new construction. � Minimum ten (10�working days after submittal date. Required onsite,Gonstruction Plans,Stormwater Plans w!Sitt Fence instalied, I� Sanitary Facilities&1 dumpster. Site Work Permit for all new projects.All commercial requirements must meet compliance SlGN PERMt�� Attach(2j sets af Engineered Plans. *�*''PROPERTY SURVEY required for al!NEW construciion. • •-�.-�•.--:-�E.�.1�4.�-.i�l..i.•f..f.i..l..l.-1..4.L�I...I�I..i�..1-.1.•1�1�..�1-1..1..#�1-a-1..l-1..1.�1-.1�4�f.•i..1.�l-1..Iol..I..e..• • • • • • • • • �..i-l�-1-.i� Directions: I� Fill out application completely. . � Owner&I Contractor sign back af application,notarized � - � ' � If over$25Q0,a Notice of Commencement is required. (A/C upgrades over$7500) ** Agent(foir the contractar}or Ppwer of Attorney(for the owner)wouid be someone with notarized letter fram awner euthorizing'same OVER TNE C�OUNTER PERMiTTING (copy af cantract required) Reroafs if shi�gles Sewers Servlce Upgrades .AJG Fences(Plat/SucveylFootage} � � i , , � Driveways-Not over Caunter if on public roadways..needs ROW � I � � . I � ,i