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at�-�au�ozo City of Zephyfiills Pertnit Application Fax-813-78�-OD21 <br /> Bunding Depariment <br /> , � Oale Reeelved P6ona CatitacttorPemiilHng �l3 �� _ /�(s-G <br /> / t 11.1 1�1 1 Q 1 I 1 1 1: - . . <br /> Owne�'s Name (C1.J 1 a ��'rc,��S Owner Phona Number g��✓ ���—d�3�" <br /> OwnersAddress .1.���. ��S��t�p� t OwnerPhoneNum6er <br /> Fee S(mple Tltlehalder Name Oumer Phone Num6er <br /> Fee Simple Tltleholder Addresa <br /> JOS ADDRES9 C.Q�I CG A�:55f.J Oc�� ��l. Vl (N.�1 I7 �Ti� �L T# I SO - <br /> sueoms�oN �r;�l-wc,o� PARCELIDii �'Z-2�'al- Oa�o -opoo o�lsoo <br /> �oar�u+�Faaa�ersorERTv Tnx nonce� <br /> WORK PROPOSED e NEW CONSiR e ADDlALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSHD U&E Q SPR Q COMM Q OTHER ' <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIpT1pN OF WORK ECa c�' a �2•��' SE��. . . S Ci-O- S s�-�w. • <br /> BUILDINO SIZE . SQ FOOTAGE� HEIaHT <br /> QBUiLDING S VALUATION OF TOTAL CONSTRUCTION <br /> � QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.RE,C. � <br /> QPLUMBING $ (L� <br /> �MECHANICAC g' VALUATION OF MECHANICAL INSTALLATION �,J <br /> 7� S�. <br /> Q�AS Q ROOFING. Q SPECIAL7Y Q OTHER <br /> FIN�SHED FLpOR ELEVATIONS FLOOD ZQNE AREA QYES NO ' <br /> BUILDER CONPANY' <br /> SIGNATURE FtEr,IsiEREo� Y!N� FEE WNRen� "Y/N " <br /> Address Licease N ' <br /> ELECTRICIAN COMPANY <br /> SIGNATURE, ttEqSTSReo Y!N �cua�r, Y!N ' <br /> liddress Licertse# � <br /> PWMBER � COMPANY <br /> SIGNATUAE r�aisiFn� Y/N' Ftf cun�n Y/N <br /> Addreas Ltcense# <br /> MECHANICAL COMPANY �(��uX�G+� �� �� <br /> � SIONATURE r�c�shRm Y./ N r�cuw�n Y/N <br /> Addreas �'1CR0 5�.�"�e . �• �1L �V1.e �Yt-3''!3!`� Llcense# �i�COs`2�\�(�� <br /> OTHER COMPANY _ � <br /> . $IQNATURE REGISTERED Y/ N �cut:aa Y/N <br /> Addrass liCenSe# <br /> II.IIIIIII111.1`IIt111t111111111tt-111111111111111llltlllltlllll:llllllt <br /> RESIDENiIAL Attach(2}Plot Plans;,(2)sats oi 8ullding Plans;(1)set d Energy Forms;R-0-W Pertnit for new constri�cflon, <br /> Mlnimum ten(70)worldng days aRer suhm,iftal date..Required ens�a,ConsWction Plans,Stnrtnwater Plans wI 51It Fence installed, <br /> Sanita'ry FaclGties&1 dumpster,Sfte.Wmk Pertnit for subdMislonsllarge ptoJeds <br /> COMMERCIAL Attech(2)wmplele sets of Butldi�g Plans pfus a Life Safery Page;(1)sel ui Eneagy Forms:R-QW Permit foFnew con6truction, <br /> . Minimum ten(l0)Hrorldng days after submittat data. Requi�ed onsite,Constniction Pfans,Strnmwater Plans w/Sitt Fence installed,. <br /> Sanitary.Fadfities&1 dumpster.Site Wbek Permfl tor all new projects.A(I commerdal requfrements must meet compfiance , <br /> SIGN PERMR Ntad�(2)sets o1.Engirieered Plans. � <br /> ""PROPERTY SClRVEY requlred for all NEW consWction. • <br /> Directiona:• � <br /> FlII out app�lcadon comptetety. ^ <br /> Owner 8 Contractor sfgn badc of appllcation,noterized <br /> H over 52500,a Natlee of Commeneemerrt Is requlrad. jA1C upgndea over 57500) <br /> rn� <br /> " Agant(tor the co�tractor)�br Puwer of Attamey(for the pxmer)would be someone�vith notarized letlerfiom mmer authorizing sams <br /> OVERTHECCUNTER?ERMRTWG {copyofcontredrequired). <br /> Remofs If shingles Se,wers Service Upg�ades AIC Fences(P�otlSurveylFoobge) , <br /> oAveways-Not over Caunter ii nn pubAe roadvrays_needs ROW <br /> � <br /> �,.....—,.._._.___..____._.__.-_._.._...__.,,____..__�._.._._ _....._._..._��...o__�....,.�._._.._._ <br /> ' <br />