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Q��-rQ�-�,ut�, City of Zephyrhiils Permit Appl�cation Fax-813-784-Od21 �
<br /> 8uliding Deparbr�ent •
<br /> Da�e Recelved Phone Can#act for Permtt#in �/� ��� – �� `�
<br /> Owner's Name ��LS Owner Phone Number g l� �' g J�' � �
<br /> Owner's Address T 71� ����G�1 ,({, �� Own�r Phone Number �— �
<br /> Fee Slmpie Tftieholder Name �_ � Owner Rhone Number � �
<br /> Fee Simple Tltiehotder Acldresa
<br /> JOB AGDRES8 � �'..>��--'J'�`!,� l��� LOT# �.�
<br /> SUBDIVISION �� � PARCEL ID# ,G� �. 0�1 �`CPU'" ���'�� �`���
<br /> (OBtAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPdSED , e NEW CONSTR� ADU/ALT � SIGN Q Q DEMOLISH
<br /> lNSTALL REPAIR
<br /> PROPOSED=USE [� SFR Q CCiMM � OTtiER
<br /> TYPE OP COHSTRUCI'iON Q BR.OGft ' Q FRAME Q STEEL Q
<br /> DESCF2IPTIOPI OF WORK ��5, � � C �--Q � ._G`f.�7 c� ��
<br /> �UILDING S1ZE � � SQ FOOTAGE{�_ HEIGHT ��_�
<br /> 0��=�'���'�' ��� VALUATION`OF'TOTAL CONSI'RUC710N
<br /> ��
<br /> QELECTR4GAl �� AMP SERVtCE Q PROGRESS ENERGY Q W.R.E.C.
<br /> QPLUMBlNG �� "
<br /> [�MECHANICAL $ ���}�� �� VALUAi'lON OF MECHANICAL IN3TALLATIQN
<br /> /
<br /> C]GAS Q ROOFING Q SPEClAL'!"Y Q t�THER
<br /> FINISHED FLOOR ELEVATIONS �� F�OOD ZOAIE AREA QYE3 NO
<br /> BUtLDER COMPANY
<br /> SIGNATURE REGIS7ERED Y I N �EE GURREA Y 1 N
<br /> Address License# I �
<br /> SLECTR(CfAN COMP��NY
<br /> SIGNA7UFlE �' ��fs'r��t�a Y t N F�curt�n Y t N
<br /> Address Ucense.# � �
<br /> PLUMBER � COMRl1t�lY
<br /> SIGNATURE REGISTERfiQ Y! N FeE cuatx�n Y t N
<br /> Address License# I �
<br /> '�j�tr�rnl��i �i��L9�.�n.e�, _ p
<br /> MECH��c�. �� con��,v�nr ' Fth�R S rcrp�'1 n(e�j-s '�- �`�� '�"� �
<br /> SIC3NATURE REGISTERED Y/ N FEE CURREt+ Y!N
<br /> Address 4���-r r��l� � License# ���b���T"� �
<br /> OTHER ,CQMPANY �
<br /> SIGNATURE REGISTERED Y/ N, FEE CURREA Y/N
<br /> Address 11 —.-- . I.icense# � - �
<br /> RESIDENTIAI: Attach(2).Plot Plans;(2j sets.of�Build!`ng`Pla�s�(1)sat of-Energy�Foims;R-0-W PercnlE for new construction,
<br /> Mlnlmum.ten(1,0)working;days:after,.submittal date. Requlreii onsite,Constivctlon Plans;Stortnwater Plans w/Slit Fence installed,
<br /> Sanifary Faciif#ies�&�1�,dumpster••Site Work�P..ermit for subdiVtstons�large projects
<br /> COMMERCIAl. Attsch(3)complete sefs of Building Plens plus a Life Safety Page;(1)sei af Energy Forms.R-Q-W Permit for new canstructian.
<br /> Minimum ten(10)working days after submittal date. Required onsite,ConsVucdon Plans,Stormwater Plans w/Silt Fence instalied,
<br /> Sanitary Faciii�es$1 d�mpster.Site Work Permit for all new projects.AO commercial requirements mustmeet campliance
<br /> SIGN PERMlT Attach{2)sets of Eagineered�Plans.
<br /> '•'•PROPERIY SURVEY required for all NEW construcUan.
<br /> Directlons: �
<br /> FIII out applicadon completely.
<br /> Owner 8 Contractor slgn back of appi(catlon,notarized
<br /> If ovar�2500,a Natics of Comme�cement[s required. {AtG upgrades over�750d)
<br /> " Agent(for the cantractoi)ar"Pdwer of Attomey(tor the owner)would be someone with nota�ized letter from owner aufhorizing same
<br /> QVER THE GOUNTEi2 PERMITftNG . (Front a#AppllcaUan Oniy} ... .. . . ... _ ,..._�.._... .� ..„<..�:....,e�
<br /> .. .. . .... ..... . .�
<br /> Reroofs if shtngles Sewers �� Service llpgraides"NC" `""'�ences(PloUSurvey/Footage) � ;; • . " ��
<br /> Drlveways-Nat aver Counter if an,pubflc ioadways..neaiis ROVit ' � ' ,�
<br /> , . , -, , .. . .
<br /> .- , d • .� _ _-. ., ,,, .. -.. ._.,.r=��> .. _ ,...,.,.. ___ -- - - _,� . ._.,- ,•,��
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