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'813-780-0020 City of Zephyrhil(s Permit Application raX'°irrou'vu`1 <br /> Building Department <br /> Date Recei 31 <br /> ved Phone Contact for Permitting F671 �`g�` o ` <br /> es'Name Owner Phone Number _?"t°�' 'y'"01'1�'"'' y: ' <br /> Ownec's'Addresst;. '1 V� ` �`rl� 1`� 11� OwnefPhone Number <br /> Fee Simple Titleholder Name Owner PhoneNumber • <br /> Fee Simple Titleholder Addresss ( i <br /> JOB;ADDRESS'. -1.�� �bf Kim Yi (Ylf(tS i.ar# '. <br /> 5UBDIVIStoN PARC> ypo �}3-d�O.-a(:~ON , 0�7 .'- <br /> '(OBTAINED FROM PROPERTY TAX NOTICE), <br /> W012K'1?Rt?Pf3SED NEW CONSTR ADD/ALT SIGN Q : MOVE 0 DEMOLISH ; <br /> INSTALL REPAIR <br /> R .' <br /> 1 <br /> PROPOSED USE Q SFR . 0 COMM QTHER <br /> TYPE OF CON STRUCTIDN Q BLO K FRAME Q STEEL . `Q t OTHERF. <br /> DESCRIPTIQN 40F:WORK �4d f �Ot�+ � t S �rt��il?(!Je(�t tt R 15 vi e Sylill 1�S't�f 4- �' �a!{.,•t ter' C2:.S <br /> BUILDING SIZE. J1:��.5 L __� ,•I.Ulpa(O- . <br /> SQFOOT4GE. HE 5 i' <br /> ;•, <br /> BUILDING <br /> ;GONS1'RUGTtON <br /> Q -ELECTRICAL $ AMP SERVICE r___J PROGRESS ENERGY <br /> 0 =PLUMBING $ <br /> MECHANICAL ... ($ VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS : 0 _ ROOFING; 0 . SPECIALTY Q OTHER , <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES Q NO'': <br /> _BUILDER_ - - COMPANY <br /> SIGNATURE - — - REGISTERED -Y/.N FEE CURRENT - --Y 1-N- -- ' - <br /> Address License# ` <br /> ELECTRICIAN COMPANY <br /> SIGNATURE. REGISTERED Y/ N FEE.CURRENT" <br /> Address License# `.. - <br /> PLUMBER COMPANY . <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT <br /> Address License# 1 . <br /> MECHANICAL COMPANY- <br /> SIGNATURE` F7 REGISTERED - Y/ N- FEE CURRENT Y/N <br /> Address License# , <br /> QTFtER`'.. GOtiIIPA�Il( Ebm - <br /> {X +t �C :: <br /> SIGNAT.URE', : : R((EISTERD CU ENT"fc N <br /> Address ( 1:IS S ( �J3-J{{ 1 ,=License:# [, <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)•working days after submittal date. Required onsite,Construction Plans,Stormwater'Plans.w/Silt Fence Installed; <br /> Sanitary Facilities&, dumpster;Site Work Permit fog subd)vistonsAarge projects". <br /> COMMERCIAL. "Attach(3)sets of Building Plans;(1)set-of Energy Forms:R-O-W Permit fcrnew,construction:: <br /> Minimum ten(10)working days after submittal date.,.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed; <br /> Sanitary Faculties&1'dumpster.Site Work Permit for all new pro)ects.All commercial requirements must`meet compliance`- <br /> SIGN PERMIT Attach(2)sets of Engineered Plans, <br /> ****PROPERTY SURVEY`required for all NEW construction, <br /> Directions: <br /> Fill out application completely. <br /> 'Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000) <br /> ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> 'OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways=Not over,.Counfer=lf;on:public roadways..needs ROW ' <br />