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s13at)o-0a2o City of Zephyrhais Permit Application F2t*813-780-0021 <br /> Budding Department <br /> Date Received Phone Contact for Permitting <br /> 111 / 1 / 11it 9 <br /> I I I I Ia <br /> to F1 <br /> Owneea Name choowner Phone Number <br /> Owner's Address FM S Ith s Owner Phone Number <br /> Fee Simple rentleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ni <br /> JOB ADDRESS 1 .`7 LOT# <br /> / w f1(� <br /> SUBDIVISION PARCEL ID# )a �p V s 0 V UN <br /> toBrmw FROM PROPEWTAX NDIICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADDIALT = SIGN [] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED Use Q SFR = Comm OTHER <br /> TYPEOFgONSTRUCTION = BL <br /> O <br /> C <br /> K Q FRAME P9 STEEL = <br /> DESCRIPTION OF WORK �1 V <br /> BUILDING SIZE I .= SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE = PROGRESS ENERGY [] W. E.C. <br /> =PLUMBING $ <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER JJ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER f COMPANY <br /> SIGNATURE I Y N FEE CURRET Y!N <br /> Address Llcense# <br /> ELECTRICIAN 6 1 COMPANY <br /> SIGNATURE I YIN FEECtrRR2n Y/N <br /> Address License# <br /> PLUMBER Y, l {� COMPANY <br /> SIGNATURE ` I REGISTERED I YIN FEECURM3D I Y I N <br /> Address License# ^-7f <br /> MECHANICAL COMPANY I <br /> SIGNATURE 116015TEREO � I YIN I FM CURRer [ YIN <br /> Address License B <br /> OTHER .v ' COMPANY <br /> SIGNATURE • ' REGISTERED I YIN FEE CURM, I Y/N <br /> Address License# <br /> 11l1l111111tllllllllltllllllllllllillilllilltllllllllllllll111t1111 <br /> RESIDENTIAL Attach(2)Plot Plans,(2)sets of Building Platrs;(1)set of Energy Forms;R-O-W Permit for new construction. <br /> Minimum ten(1 o)waddog days after submittal date.Requited onsite,Construction Plans,Storinwater Plans w/Silt Fence Installed, <br /> SaNtary Facilities&1 dumpater,Site Work Permit for subdivieionsflarge projects <br /> COMMERCIAL Attach 12)complete Sets of BOWng Plans plus a Lee Safety Page;(7)out of Emirgy Forms,K-O-W Permit for new con>siruatan. <br /> Minimum ten(10)working days aftersubmdtall date. Required onslte,Construction Platens,Stormwater Plans wl Silt Fence.instailed, <br /> Sanitary Facilities&1 dumpswr.Site Work P.ermlt Torah new pro{ects.AA commercial requirements must mast compliance <br /> SIGN PERMIT Atach(2)sets of Engtnsered Plans. <br /> ""PROPERTY SURVEY required for all NEW eonsiniction. <br /> .La I T I 1 1 1 1 1 <br /> Dlrectlon. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> W over 5z500,a Notice of Commencement Is requlred. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(rar the ovieri would be someona with notarized letter from owner authotmng same <br /> OVER THE COUNTER PERMITTING (ropy of contract mqufrgd) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot zurvey,Toatage) <br /> Drivoways-Not over Counter if on public.roadways-rreeds ROW <br />