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- i <br /> 813-784-0020 City o#Zephyrhiils Permit Applicatian �aX-a��-7ao-oaa� <br /> • � Building Department ' <br /> . i <br /> Date Received ��,r^ f..- '�'j'`��� S�� d 1� _ �j,��,, i <br /> Phone Contact far Permitting � <br /> j <br /> Owners Name �'[� Owner Phone Number �!>Jt�"'�� �q i <br /> � <br /> ; ! � � I <br /> =r- Owner's Address A� �.�t{ h l�1S F� Z Owne:Phane Number ' <br /> i <br /> � � J <br /> i <br /> Fee Simple 7Itteholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS t�+�O t tai � K h i!1� I �i LOT# �� <br /> r� <br /> SUBDIYISION �� �� PARCE4ID# GOZ-ZG=Ll"4010-0(,I QD �(J�0� <br /> {O$TAIWED FRBM PROPBRiY TAX PS0T1G� <br /> WORK PROpOSED e NEW CONSTR 8 ADD/ALT �] SIGN Q C] DEMOLISH <br /> tNSTAi.L REPAIR <br /> PROPOSED USE � SFR � GOMM � OTHER �i 1 ��r � i <br /> 1 <br /> TYPE OF GQNS3RUCT18t+1 � $LQCK � FRAME C� STEEL. n � i <br /> �Escw�noN oF woR►c � a�l ( G►P NJo�tl ' <br /> � <br /> BUILDING SI2E ,��� X ��u � SCl FOO'CAGE L...VD HEIGHT �� <br /> QBUILDING ��� VALUA710N OF TOTAL CONSTRUCTION , <br /> � � <br /> [�ELECTRICAL $ O�,p0 AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �..,,y .„� � � J �,� � <br /> QPLUMBWG $ �I�����%C �` � 3 <br /> �- 3s�.po �� �� � � <br /> QMECHANICAL $ � VALUATIOIV OF MECHANICAL.INSTALLAl'IC)N �� � <br /> 1�. <br /> QGAS Q ROOFiNG [� SPECtALiY � OTHER � r �f j �� � <br /> EtNtSHED FLQOR ELEVATlOIV3 F�QOD ZbNE AREA QYES � ���'���'��j <br /> r...■ ■..■_.r ■ ■..■..■ ■_■..■ . ■ ■ .. . ■ ■ . . ■ . . . . . . . . . ..■ .-�. ■. ■ . . ./� � � <br /> �� � - s <br /> BUILDER � ���/,��� COMPANY S p �A �� <br /> /� .� ` <br /> SIGNATURE �,�d�������.:.� REGISTERED Y/ N FEE CUFtRER Y!N � <br /> J /' � <br /> Address J �.5� ' � � .7�' !J���`Ii�O I• License# ���Q„�S�'�q � i <br /> �, �35 , / ; <br /> ELECTRICIAN —' "` GOMPANY /�h �/�/"�lG <br /> '..�---�a <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> �^� 3 <br /> Address (/ •j �" License# �c-'13�D13 �3 �I <br /> PLUMBER ♦,,..,.� �`' COMPANY AIt1� r1�1'1 �g/'W► yl I'�f, <br /> SIGNATUR REGI37ERED Y 1 N FEE CURREt� Y/N <br /> pddres O p0'�c ,�,�,.3 .�+"� �i�� .a Ld�a� License# a,... C.. ��-2�LCa <br /> MECMANiCAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� �� <br /> OTHER CBMPANY ' <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N i <br /> Address License# � � <br /> IIMIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIMIIIIIIIIIIIIII .IIIM111111111111111 <br /> RESiDENT}AL Attach{2}Ploi f'lans,{2}sets ot Building t'lans;('!}set af E�ergy Forrns;E2-0 W Permit far new construction,, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Wark Permit for subdivisionsllarge projects <br /> GQM34}ERClAL Attach(2}complete sets of Building PIa»s plus a�i#e Safety Page;{'f}set of Energy Forms.ft-0 W Permit far new construc#'son. <br /> Minimum ten(10)working days after submittal date. Required onsite,Canst►uction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Warlc Permii for a!I new projects.AI!commercia!requirements must meet compliance <br /> SIGN PERMIT Atkach(2}sets of Engineered Pians. <br /> "'*'PROPER7Y SURVEY required for all NEW construction. <br /> direCtions. � <br /> Fill out applicatian completely. <br /> Owrier&Corrt�actor sign back of applicafion,notarized <br /> If over$2500,a Wotice of Commencement is required. (A/C upgrades over$7504} <br /> "' AgeM(for the cantractor)or Power of Attomey(fpr the awner)would be someone with notarized letter fram owner authorizing same <br /> OVER'�HE GBUNTER PERMiTFING (copy of corrtract tequired) <br /> Rerabfs if shingles Sewers Senrice Upgrades A!C Fences(PlodSurvey/Foatage) <br /> Driveways-Not aver Counter if on pubtic roadways..needs ROW � <br /> , <br /> ; i <br />