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s�aaso-oozo � Cify of Zephyrhilfs Permit Application Fax-813-780-0021 <br /> , <br /> , Build(ng Department <br /> DateReceived `� `� � phoneContactforPertnitting ��3 �7 WSz6 <br /> Owners Name �4 tv/' -n C • �d�t vt S D✓i Owner Phone Number G 3 -�y�� <br /> � Owne�'s Address f Z� �'F�' s � aE CL 3 3 L Owner Phone Number <br /> Fee Sfmple Titlehoider Name Owne�Phone Numbe� <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS ST � 7 �k S T LOT# /U t/ <br /> SUBDIVISION L 6 �� V�����f PARCEL ID# 1 I yCo Z(dU O V G �� v ( <br /> (OBTAINED FROM PROPFRTf TAX NOTIC� <br /> WORKPROPOSED e NeVJtoN5TR8 ADD/ALT [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEDUSE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �FA N 1C I70YIC' �t! �C fC►410V``�` �ft '�%� .� rCG�K IE /? <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> TlTrrrR�[�ITTTrR9T[�R�l'7TT1"ITlTfrrl"ITITTrI�rl'R'79'R�lTrrrlTt�T{Ti�rrT" <br /> QBUILDING $ �0��,� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ , AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � �Q(/ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER ��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> TlT���TiTr�TT�T�i"�iTl����TliTT�i'����Ti�T1Trtl�rTrin�T�TriTTT�rr�T� <br /> BUILDER �..� COMPANY S CQ r�f dI''t C �La"� rOf/'C/�"��K <br /> SIGNATURE REGIST� o N �cuaaen Y/N <br /> Address OL � C ��o�Pau� �, Lfcense# (il9 Gd����� <br /> le7Kf WON �t- � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N F�cutu�n Y/N <br /> Address Llcense# <br /> � PLUMBER ° � COMPANY �`'��/ �� , <br /> '�SIGNATURE � �� REGISTERED Y! N FEECURREA Y/N <br /> � �l �0 �� r /'O�j l � License� C .(� ��(O� <br /> Addreis <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRE� Y/N <br /> Address Llcense# <br /> OTHER COMPANY <br /> SIGNATURE REGI3TERFD Y/N �cuwzen Y/N <br /> Address Ltcense� <br /> IIIIIIIIIIIIIIIIIIIIl1I111111111I1t111t1t1111111t111111I11111illllt <br /> RESIDEN'f1AL Attach(2)Piot Plans;(2)sets of Building Pians;(7)set of Energy Fortns;R-O-W Pertnitfo�new consWcUon, <br /> Minimum ten(10)working days afler submittal date. Requlred onsite,ConsWction Plans,Stormwater Plans w/S(It Fence Instalied, <br /> Sanitary FaciliQe's&7 dumpster,Site Work Permit for subdlvislonsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new canstruction. <br /> Minimum ten(70)woridng days after submittal date. Requtred onsite,ConstrucHon Plans,Stortnwater Plaits w/Silt Fence Installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Permitfor all new proJects.All commercfai requtrements must meet complfance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> �r� '',• ' ""PROPERTY SURVEY required fo�all NEW consttuction. , � <br /> ,. �. -1-1-1-1-1-I-4-I..i-i-t-F-1-1-N-f-.L..I-1-.i-4-1-1-N-6.a..I-1..1-i-4-1-F-1-l-1--1-4a-i-4-1-4-1-1-R-f-i-1-1-i..i-1..1-1-F-1-1-i-i-1�-1-4=4•�; ': <br /> - ;Directlons: • ' ' <br /> , -FIII out applicaUon completefy. <br /> , �Owner&Contractor sfgn back of applicaQon,noterized <br /> , -If�oSer$2500,a Notice of Commencement is required. (AIC upgrades over$7500) ' , � <br /> � " Agent(for the contractor)or Power ofAttomey(for the owner)would be someone with notarized letterfrom owner authorizing same • <br /> OVERTHE COUNTER PERMIITING (copy of contract required) <br /> Reroofs if shingles , �-.Sewers Service Upgrades AIC Fences(PIoNSurveylFootage) ' _ <br /> Driveways-Not over Counter if on publlc roadways..needs ROW " . <br /> . ; . <br /> "air..� <br />