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a�s-�$aoa2a City of Zephyrhilis Permit Applicatian Fax-813-780-OQ21
<br /> R• d:' ' - Suilding Deparkment �� `
<br /> �*= ` " M E, za.S E
<br /> Date Recelved �
<br /> . Phone Contact for Permifting • �i �� —,�b�
<br /> 4wner`s lVame �1'���� fi( O t•�� 4�V �1�5"O�'.� Owner Phone Number
<br /> Owner's Address ���aa A��-� � Owner Phane Number � �
<br /> Fee Simpte Titleholder Nareie � � Owner Pfiane Number � �
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS �.M.�,P�"��1 N<?E.�C. —' �}o �FiR.�.Qa ftiE.F1 �OT# �
<br /> SU8DiV1810N �—r �� PARCEL ID#
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PF20POSED e :. NEW CONSTR 8 ADD/ALT [� SIGN Q Q DEMOLISH
<br /> INSTALI. °REPAIR
<br /> PROP..t?SED USE Q - SFR CJ COMM [� OTHER
<br /> TYPE"OF CONSTRUCTIpN T Q BLOCK - � FRAME � , ST,EEL� Q �
<br /> DESCRIP'iION OF WORK �}�,t» �}��� �°'"i �5'� �^�'`� 'E.� AY"F� �O bG�P�3'.�'C �•�' c�x:to3
<br /> BUfi:C}{��_S1ZE � X �C�'� � 8Q FOOTAGE -��S �' HEIGHT � �S / �
<br /> �BUILDING $i, a��-�`���G� �
<br /> �,.,fl� VALUATION'Of TOTAL COIVSTRUCTlON
<br /> [�ELECTRICAL ($y � AMP SERVICE. Q PROGRESS ENERGY [� W.R.E.C.
<br /> �
<br /> QPLUMBING $ j�� ��
<br /> �___..� �
<br /> [�MECHANICAL � _�� VALUATION OF MECHANICAL iNS7ALi.ATtON
<br /> QGAS Q ROOFtNG Q SPECIALTY � OTHER
<br /> FINISHED F1.00R ELEVATI4NS �� FLOOD ZONE AREA QYES NO
<br /> . � � .
<br /> . � �R� � ��' �s '
<br /> � ___. SUtL�EF� ' � _ - _ -- :':� CO�PPAPIY ., ..;_._.,..<<_., ._. __._. _.�.
<br /> SIGMATURE �-���,r�'� ��-^' REGISTERED Y' N . . FEE CURRE� Y 7 N- -
<br /> Address "License# � � �
<br /> . EI.ECTRIGIAN ; CO(NPAMY ' -
<br /> ._ SlGNA'PURE REGISTERED Y/ N F�e cuRR�n � Y/.N. -
<br /> - Address License# �� � ^�
<br /> Pi:.4lN68Ett;. , , COlVlPANY _
<br /> � 'SIGNATURE REGISTERED Y•/'N FEE CURRE� Y/N
<br /> . Address � ' �icense#`� ���
<br /> ,,'MECt1ANIGAI'` � COMPANY -
<br /> •"".SIGNATURE''" � ' � REGISTERED Y/ N FEE.CURRE� -, . Y/N ,� �
<br /> aaa��s��- � ����s.s.#;�._r._.. - �
<br /> �.t;;w ..... _
<br /> �...ozrr�R.���:,:..t , . � - connpannr -
<br /> �'�`SIGNATl1RE::r., ,<�: . � • -k � � a��isT�Reo Y/�N .' � F�e CURREn : Y,J N
<br /> Address.-,, �x� :r - � . `License# C . � I
<br /> �`'��; ; .,.. . , . _. .. .. :: ..: .... . . ..,_ ,
<br /> '�.�:
<br /> "�<RESID:ENTIAL��;�4";Attach=.{2)�Plot Plaris;(2)�sets�of;Building Plans;{1•)'set bf EnergyFoi�iir,s;R=,0=1N Pe'r'rimlt�or new.canstruction,�
<br /> �., � ��•=-•;�Minimum ten>(10);wo�king�days:after5ubmitkal•'dater"Reqairetl`onsite;Gonstruction Plans,�Stormwater Pians wlSllt Fence.ins#aited,
<br /> ��.<M1 . ,r JS.. f`:'.: .�:a,s...> . .
<br /> --� Sanit�,;ry,�Faci,lities-8��,1;,dumpster,°Si#e,WorttPezmit.forsubdiyisions/large;p�ojeats' " '� - - - -
<br /> �,�GOM�1ERGiAL Attach'{2)complete"set�ofBuililing Plans plus a L'iFe Safsty Page;(1)set af Energy�ortns.R-O-W Permit for`new constructian.
<br /> - - - Minimum ten'(10)working days after submitkal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> - Sanitary Eacilifies 8�1 dumpster�Site Work Permit fo�•atl-nerrv=projects.All commerciai requirements must meet compliance
<br /> �1i�;.$IGNtFERi�IT "Attach(2}'seEs of;Eriginee"retf�Plsns:3� .: .. - ; �
<br /> " •*""PROPERTY SURI(EY required„fpr..all.NEW..construation.. ,. , ,
<br /> ;�:Di�ections: P,,:�,;.;��;-:.:�: , __ "
<br /> - -�Filt'_aut application compfetely.
<br /> . � �Owner.&ConVactor.sign back of a�plication,notarized
<br /> ��;�� if over$2500;a Notice.ofCommencement is r�quired. (A!C upgrades over$7500) ,
<br /> ;`*`--.-;Agent'(for`fFi'e�ctintractor}or�Fower ofAttomey.'(for"ttie tiwner}virould tie someone K+ith natarized ie#ter from owner authoriz�ng same ,
<br /> �:riOVEt3:7FiE'GOUNTER�;'PERMiiTING:...... :.(copy_of.contraot-reqaired} ` ' `" �
<br /> :`Re�oiifs tf shing(es Sewers Servlce Upgrades A/G Fences{Plot/3urvey/Footage�
<br /> � Driveways-Not over Gounter if on public roadways..needs+ROW
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