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���-,a��« City of Zephyrhilis Permit Applicatian Fax-813-�saoo2� <br />� . Buiiding Department <br /> .c <br />� Date Recetved Phone Contact for Permlttln I 'O c� – � <br />' Owner's Name _ G.�� Owaer Phane Number "�,��,�,,� <br /> �OL � <br /> Owner's Address � /� ��e Owner Ptione Number <br /> Fee Simpfe Tittehotder Name r � Owner Phone Number � � <br /> Fee Simpte 7fttehotder Addresa <br /> .lOB ADDRESS � I �b � I.OT# �.� <br /> SUBDIVISION �— � PARCEL ID# OS �! � U ���7� <br /> (OBTAINED FROM PROPERTY 7AX N4TiCE} <br /> WORK PROp08ED , e NEW CONSTR�ADp/AI,.7 Q SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR [� COMM [,� OTHER <br /> TYPE OF CC►NSTRUCT10At Q BLQCK " Q FRAME �,� STEEL Q <br /> DESCRIPTtON!OF WQRIC s� �G� E`�l5 u� L'�377� d �o�� <br /> BUII.DING SIZE �� � $Q FOOTAGE HEIGH7 �_� <br /> OBU������"' $ , � VALUATIO(+lFQF`'TOTAI.CONS�'RUCTIOSV <br /> .�,J <br /> QEL.ECTRICAL �_-���`� AMP SERVICE [� PROGRESS ENERGY Q W.R.E.C. <br /> [�PLUMBING �y� - ' <br /> �ECHANICAi. $ �- �� VALUA'FtOM1!OF MECHANICAL INSTALI.ATiON <br /> �� ��, � <br /> CJGAS Q ROOFiNG .Q SPECIALTY � dTHER <br /> FtN18FiED FI.OQR ELEVATIONS (��—� FLOOD ZQNE AREA [�YES N4 <br /> L <br /> BUILDER COMPANY <br /> StGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address �(��g�# �~ � <br /> ELECTRICiAN __`a� COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# � i�� <br /> PLUMBER COMPANY <br /> SIGNATURE � REt3�sTE�ED Y t N FEE CURRE� Y/N <br /> Address License# � �� <br /> 8lGNATURE G�Gyu� l�,r„�-..`. CtiMPANY �2 5 /' f�e ' ��G ��C� <br /> MEGMANICAL �,,, a <br /> -'' REGISTERED Y 1 (�1 FEE�CURRER Y/'N <br /> Add�ess � . '" License# I�-'I��'������ <br /> OTHER COMPANY <br /> SIGNATURE _,._, I�GlSTER�o Y/ N . FEE CURRER Y!N <br /> Addreas License# � �� <br /> EtESlDENTIRl: Attach(2)..Plaf Plans;(2)sets of<8uilclieg`Plans;(1)set of Eoergy�Foims;R fi}-W Permit far naw construc�on, <br /> Minlmum:ten•(10);working;days.after submitta!dete. Requlreii onsite,Construc!!on Plans;Siormwater Pians wi Slit Fence Instaifed, <br /> Sanifary FactllUes,&-1:,dumpste_r.�Site Work:Rermit#or subdivisiqnsflarge prnJects <br /> COMMERGIAL Attach{3}eamplete sets of Bulti3fiig 1'lans plus a life Safety Page;(1)set of Energy Fortns.R-O-W Permit for neW constructian. <br /> Mlnimum ten(10)working days after submltta{date. Requ#red onsfte,ConsUuction Pians,Starmwater Plans w!Siit Fence lnstalled, <br /> 8anitary FaciliNes&1 dumpster.Site Work Permit far all n�w projects.All commerolal requlrements must meet campllance <br /> 31GN FERMIT Attadfi(2)sets af Engineered<Plans. . <br /> ""••PROPERTY SURVEY requlred fur all NSW oanstrucUon. <br /> Dltectlans: - <br /> F[U out applicallon complekely. <br /> Owner&Ctmtractor slgn back of applfcaUon,ncatarized <br /> 1f over E25Q0,a Notica of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(far the conUactar}or Pou+ret of Attomey(for the owner)would be sameone wtth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERM17TiNG. ,,.(Front.of AppllceBon Only) ., � Y �� ' ' � -' , <br /> Reroofs If shingles Sewers Servica tJpgrade& A7G� Fences'{PtottSurveylFootage} x - <br /> Drivsways-Not over Caunter(f on publlc rosdways..needs l20W �• , � ' <br /> _ � . � ' . <br /> , .s�-.,. ..r--:�-,.,. , :.,.. . .� ,. .. ., ... <br /> . _ �. �, . � <br /> ��� <br />