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813-780-0020 City of Zephyfiills Permit Applicafion F�-s��-7$°-0°z� <br /> Building Departmerd <br /> • Date Received � phone Contad for Permitting �r7-1TT�i"I' – <br /> 1 1 1 I 1 � 1 1 T1T���� � � �� � � � 1 1 1 1 I Q�- �/ �r <br /> Qwnets Name {}�j �Q �. Owner Phone Num6er O t�^� ��''"t�01:,/ <br /> Owners Address �� �.tM. �_il�\ V/ Owner Phone Numher �� � <br /> Fee Simpie TiUehotder Name �— � Owner Phone Number �— � <br /> Fee 3imple Titteholder Address <br /> JOBADDRESS LOT# [Y_� <br /> SUBDMSIQN U.lKY�'ZZ/� iT�1t� PARCEI.IDp I:Zr�V?r Ll �lJ"i D�-��S1�t7� O�ti <br /> (08TNHm FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADDIALT � StGN � Q DEMO�SSH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> iYPE OF GONS7RUCTION Q BCOCK Q FRAME � S'fEE� Q <br /> DESCRIPTION OF WORK G.� G �l E', O1.n„ � ✓"1 �C. 1�'z-4T ��� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> QBUtLDIN6 �� �qLUATI{}M OF TOTAt_CONSTRUCTtON <br /> �E�ECTRICAL �� AMP SERVICE Q PRQGRESS ENERGY Q W_RE.C. <br /> QPL.UMBING �� <br /> QMECHANICA� $j_��� � VAlUA7tON OF MECHANiCAI tNSTA�tA3'tOPt <br /> U <br /> QGAS Q ROOFING Q SPEC2At_lY � OTHEFt <br /> FINISHED FLOOR ELEVAT10N5 �� FLOOD ZONE AREA QYES NO <br /> BUILDER � � COMPANY � <br /> SlGNATUR6 r��is�D Y/ N �cur�N Y 1 N <br /> Address License#�_ � <br /> EIECTEt[CtAN COMAANY � <br /> SIGNATURE � r��isreaeo Y,!N �cuRReN Y/N <br /> Address License#�Y—_ �� <br /> PWMBER � � COMPANY � <br /> SIGNATURE � aE�is'reaeu Y/ N �EE CURREN Y/N <br /> Address —� License#� I <br /> SiG NRE /t ` COMPANY 1.'�J1L��S ��i�t`�t–tJ�TI�'� <br /> ��^�� ^� REGISTERED Y!N �cuwt� Y/N � <br /> Address 1���� �� y, —� License# U–I(..4{5 7 r�0 J� <br /> ---E— '�`� <br /> onieR COMPANY � <br /> SIGNATURE ae�isrEr�o Y/N �cuwtErt Y/N <br /> Address License#I � <br /> � � � � � � � � � � � � � � � � � i � iri � � � � � � � � � i � � � � � i � � � � � � � � � � � � � � � ii � � � � � � � ii � � � <br /> R�SlDENTtAt. Attach(2}Ptot Plans;(2)seis of Bnilding Ptans;{2}set ot Eneigy Fozcns;R-0.W Permif tflr nevr construction, <br /> �qimum ten(10}worfcing days after submittal date. Required onsi#e,Construction Plans,Stormwater Plans w/Slt Fence insta{ted, <br /> Sanitary FaciliBes&1 dumpster;Site Work PermR fw subdivlsionsllatge projects <br /> GQMMERCIAI. Attach(2)canplete sets of BuBding Plans plus a Life Safety Page;(1)set of Energy Fom�s.R-0-W Pertnk tar new const[uction. <br /> Niinimum ten{1Q}norking days afler submittai date_ Reqpired onsita,C�scstnscticrn Pians,Stomiwater Fians wl S�t Fern�irtsFatted, <br /> Sanitary Facili6es&1 dumpster.Site Work Permit for a0 nea+projects.Atl commerciai req�rirements must meet mmptiance <br /> SIGN PERMR Attach(2)seis of Engineered Plans. <br /> "'"PROPER7Y SURVEY requited for all NEW construcUon. <br /> Dineetions:• <br /> Fill out application completely. <br /> Owner 8 Contractor sign back ot applicatioq notarized <br /> {f aver$2504,a Notice of Commencetnent is required. {AtC upgrad�ovet$T5fl0} <br /> '" Agent(for the mnhactor)or Power of Attomey(for the owner)would be sameone with natarized letter fi+om wmer authoriz3ng same <br /> OVER 7HE GQUNTER pERMI�TING {copy of wnkad iequired) <br /> Remois tf shingt� Sewers Service Llpgrades NC Fences(PIoUSurveylFootage} <br /> priveways-Not over Counter if on public roadxmys..needs ROW <br /> I <br />